Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05364 | Date 10/06/2019 |
| Token No | SM/19-20/4243 10/06/2019 | Serial | 025 Last Visit: 25/07/2019 |
| Patient Name | Mr. KALIM SK | Contact No | 8447551954 |
| Address | JAL TANK CHATRA | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||