Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02540 | Date 15/12/2018 |
| Token No | SM/18-19/9213 21/02/2019 | Serial | 075 Last Visit: 21/02/2019 |
| Patient Name | Mr. SK GAMERUDDIN | Contact No | 9038460713 |
| Address | 21 MUSALMAN PARA | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||