Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01998 | Date 16/11/2018 |
| Token No | SM/18-19/4615 04/12/2018 | Serial | 001 Last Visit: 23/08/2025 |
| Patient Name | Mr. MD ASAD | Contact No | 7890402307 |
| Address | CHATRA MUSALMAN PARA | Age | 62 Years,7 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||