Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00997 | Date 08/09/2018 |
| Token No | SM/19-20/25138 25/08/2020 | Serial | 018 Last Visit: 25/08/2020 |
| Patient Name | Mr. AFJAL HUSSEN | Contact No | |
| Address | CHATRA MUSALMAN PARA BY LANE | Age | 70 yrs Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||