Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01030 | Date 11/09/2018 |
| Token No | SM/19-20/11945 17/10/2019 | Serial | 055 Last Visit: 18/01/2020 |
| Patient Name | Mr. SK SULEMAN | Contact No | 7890773778 |
| Address | CHATRA ARBINDA SARANI | Age | 60.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||