Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01902 | Date 05/11/2018 |
| Token No | SM/18-19/3690 14/11/2018 | Serial | 079 Last Visit: 14/11/2018 |
| Patient Name | Mr. JAHIR KHAN | Contact No | |
| Address | TIKYA PARA | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||