Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02495 | Date 12/12/2018 |
| Token No | SM/18-19/5148 12/12/2018 | Serial | 062 Last Visit: 24/12/2018 |
| Patient Name | Mr. MD ANJAR | Contact No | 9681676408 |
| Address | 48 N N ROY STREET | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||