Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 02025 | Date 19/11/2018 |
| Token No | SM/19-20/2886 16/05/2019 | Serial | 048 Last Visit: 16/05/2019 |
| Patient Name | Mr. MD . ARIF | Contact No | 9339742590 |
| Address | 11A/1 PARSI LANE SHILBAGAN | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||