Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00080 | Date 03/08/2018 |
| Token No | SM/19-20/24350 22/07/2020 | Serial | 028 Last Visit: 29/07/2022 |
| Patient Name | Mr. ADIL | Contact No | |
| Address | 7/A CHATRA ARBINDO SARANI | Age | 16.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||