Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02376 | Date 06/12/2018 |
| Token No | SM/18-19/4786 06/12/2018 | Serial | 041 Last Visit: 22/12/2018 |
| Patient Name | Mr. SABIR SK | Contact No | 7797712244 |
| Address | KATWA | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||