Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02057 | Date 20/11/2018 |
| Token No | SM/18-19/3960 20/11/2018 | Serial | 038 Last Visit: 03/06/2019 |
| Patient Name | Mr. MD RAMZAN | Contact No | |
| Address | KUMAR PARA | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||