Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04402 | Date 26/03/2019 |
| Token No | SM/19-20/14400 30/11/2019 | Serial | 074 Last Visit: 12/12/2019 |
| Patient Name | Mr. MD BADAL | Contact No | |
| Address | N.N ROY STREET | Age | 80 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||