Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02900 | Date 08/01/2019 |
| Token No | SM/18-19/6491 08/01/2019 | Serial | 045 Last Visit: 08/01/2019 |
| Patient Name | Mr. BHOLA KAIRI | Contact No | |
| Address | POTUA PARA | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||