Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03128 | Date 22/01/2019 |
| Token No | SM/18-19/7243 22/01/2019 | Serial | 014 Last Visit: 22/01/2019 |
| Patient Name | Mr. SK RAFIK | Contact No | 8013425408 |
| Address | DIARA | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||