Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07512 | Date 10/02/2020 |
| Token No | SM/19-20/17877 10/02/2020 | Serial | 053 Last Visit: 10/02/2020 |
| Patient Name | Mr. SK ANSAR ALI | Contact No | 9143617501 |
| Address | 47 CHATRA MUSALMAN PARA, | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||