Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08169 | Date 29/04/2020 |
| Token No | SM/19-20/21691 29/04/2020 | Serial | 010 Last Visit: 29/04/2020 |
| Patient Name | Mr. SAMIR MALIK | Contact No | 9748749797 |
| Address | 27 BORO BAGAN LANE, | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||