Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01525 | Date 05/10/2018 |
| Token No | SM/18-19/2498 05/10/2018 | Serial | 019 Last Visit: 05/10/2018 |
| Patient Name | Mr. SK SADDAM | Contact No | 8481988133 |
| Address | CHATRA MUSALMAN PARA/LANE | Age | 18 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||