Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08549 | Date 17/07/2020 |
| Token No | SM/19-20/24174 17/07/2020 | Serial | 025 Last Visit: 17/07/2020 |
| Patient Name | Mr. MD JAVID | Contact No | 6290993589 |
| Address | 18/1 MUSALMAN PARA BYE LANE | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||