Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01543 | Date 05/10/2018 |
| Token No | SM/18-19/5313 15/12/2018 | Serial | 045 Last Visit: 07/09/2019 |
| Patient Name | Mr. MD ISRAFIL | Contact No | 9007517192 |
| Address | 15 BHADURI PARA | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||