Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01754 | Date 29/10/2018 |
| Token No | SM/18-19/3111 29/10/2018 | Serial | 083 Last Visit: 29/10/2018 |
| Patient Name | Mr. NAKUL RANA | Contact No | 9331017770 |
| Address | 68, KALAHATA ROAD SHEWRAPHULI | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 108/72 mmHg | Weight | 50 KG |
| Pulse Rate | 73 / min | Height | cm BMI: inf |
| Diagnosis | |||