Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04023 | Date 06/03/2019 |
| Token No | SM/18-19/9934 06/03/2019 | Serial | 024 Last Visit: 06/03/2019 |
| Patient Name | Mr. MD ISHTIYAQUE | Contact No | 9903398132 |
| Address | 5 P S ROAD,RISHRA | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||