Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01837 | Date 01/11/2018 |
| Token No | SM/18-19/3295 01/11/2018 | Serial | 044 Last Visit: 01/11/2018 |
| Patient Name | Mr. MD ALTAF | Contact No | 7890681416 |
| Address | CHATRA MUSALMAN PARA | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||