Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01329 | Date 25/09/2018 |
| Token No | SM/18-19/2597 06/10/2018 | Serial | 057 Last Visit: 27/10/2018 |
| Patient Name | Mr. MD SAHEB JAN | Contact No | |
| Address | 56 N N ROY STREET | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/60 mmHg | Weight | 39.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||