Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01336 | Date 25/09/2018 |
| Token No | SM/18-19/2066 25/09/2018 | Serial | 048 Last Visit: 25/09/2018 |
| Patient Name | Mr. MD ALTAF | Contact No | |
| Address | CHATRA CHATUGANG | Age | 25 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 125/75 mmHg | Weight | 70 KG |
| Pulse Rate | 97 / min | Height | cm BMI: inf |
| Diagnosis | |||