Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02518 | Date 13/12/2018 |
| Token No | SM/19-20/23076 13/06/2020 | Serial | 035 Last Visit: 13/06/2020 |
| Patient Name | Mr. LAL BABU | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||