Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03041 | Date 17/01/2019 |
| Token No | SM/19-20/17336 28/01/2020 | Serial | 029 Last Visit: 12/10/2020 |
| Patient Name | Mr. SK ABDUL | Contact No | 7980261845 |
| Address | 21 MUSALMAN PARA LANE | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||