Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02476 | Date 12/12/2018 |
| Token No | SM/19-20/439 08/04/2019 | Serial | 003 Last Visit: 08/04/2019 |
| Patient Name | Mr. MD SURAMAN | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||