Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02323 | Date 04/12/2018 |
| Token No | SM/18-19/4631 04/12/2018 | Serial | 017 Last Visit: 05/12/2018 |
| Patient Name | Mr. ASRAF ALLI | Contact No | 7356910318 |
| Address | 7 CHAREA ARRABINDA SWARANI | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 125/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||