Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 02872 | Date 07/01/2019 |
| Token No | SM/18-19/6456 08/01/2019 | Serial | 010 Last Visit: 22/01/2019 |
| Patient Name | Mr. MD IDRISH | Contact No | |
| Address | 16/A RABINDRA BHABAN ROAD | Age | 55 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||