Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01072 | Date 12/09/2018 |
| Token No | SM/18-19/2851 13/10/2018 | Serial | 005 Last Visit: 13/10/2018 |
| Patient Name | Mr. MD ASIM | Contact No | 9681296531 |
| Address | 45/A N N ROY STREET | Age | 43.0 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||