Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07326 | Date 11/01/2020 |
| Token No | SM/19-20/23945 09/07/2020 | Serial | 036 Last Visit: 28/08/2021 |
| Patient Name | Mr. AMJAD HUSSAIN | Contact No | 8017676928 |
| Address | RISHRA, MIRPUR BHADUA, | Age | 45 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||