Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02049 | Date 20/11/2018 |
| Token No | SM/19-20/2642 13/05/2019 | Serial | 053 Last Visit: 13/05/2019 |
| Patient Name | Mr. MD SULTAN | Contact No | 9903079555 |
| Address | 50, CHATRA MUSALMAN PARA | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||