Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02304 | Date 03/12/2018 |
| Token No | SM/18-19/4583 03/12/2018 | Serial | 049 Last Visit: 03/12/2018 |
| Patient Name | Mr. MD RAJ | Contact No | 8444846628 |
| Address | N N ROY STREET | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||