Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03414 | Date 06/02/2019 |
| Token No | SM/18-19/8158 06/02/2019 | Serial | 052 Last Visit: 03/09/2019 |
| Patient Name | Mrs. MD NASIR | Contact No | |
| Address | 21 MUSALMAN PRA BYE LANE SERAMPORE | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/100 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||