Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02199 | Date 29/11/2018 |
| Token No | SM/18-19/4359 29/11/2018 | Serial | 020 Last Visit: 07/03/2019 |
| Patient Name | Mr. SK SABIR | Contact No | 9748008756 |
| Address | BARO BELU | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||