Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05524 | Date 22/06/2019 |
| Token No | SM/19-20/5087 22/06/2019 | Serial | 048 Last Visit: 22/06/2019 |
| Patient Name | Mr. ALIMUDIN | Contact No | 8479042100 |
| Address | SHEWRAPHULI | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||