Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 01456 | Date 01/10/2018 |
| Token No | SM/18-19/2322 01/10/2018 | Serial | 042 Last Visit: 01/10/2018 |
| Patient Name | Mr. SABIR ANSARI | Contact No | |
| Address | SILBAGAN | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||