Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01880 | Date 03/11/2018 |
| Token No | SM/18-19/3527 12/11/2018 | Serial | 005 Last Visit: 12/11/2018 |
| Patient Name | Mr. MD JAMIR | Contact No | 9674043703 |
| Address | RISHRA, MIRPUR | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||