Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02093 | Date 22/11/2018 |
| Token No | SM/18-19/4052 22/11/2018 | Serial | 047 Last Visit: 08/02/2020 |
| Patient Name | Mr. MD JAHIR | Contact No | 9836749161 |
| Address | CHATRA MUSALMAN PARA | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||