Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01716 | Date 27/10/2018 |
| Token No | SM/18-19/3007 27/10/2018 | Serial | 056 Last Visit: 07/11/2019 |
| Patient Name | Mr. SK SUKUR | Contact No | 9062750729 |
| Address | CHATRA MUSALMAN PARA | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||