Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04049 | Date 06/03/2019 |
| Token No | SM/18-19/9994 06/03/2019 | Serial | 084 Last Visit: 06/03/2019 |
| Patient Name | Mr. MD NASIM | Contact No | 9007357058 |
| Address | 1 PARSI LANE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 82 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||