Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05316 | Date 01/06/2019 |
| Token No | SM/19-20/3858 01/06/2019 | Serial | 059 Last Visit: 01/06/2019 |
| Patient Name | Mr. MD RAMZAN | Contact No | 9681701425 |
| Address | 13 TINBAJAR BAJAR BYE LANE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||