Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05578 | Date 26/06/2019 |
| Token No | SM/19-20/5361 26/06/2019 | Serial | 025 Last Visit: 26/06/2019 |
| Patient Name | Mr. ABDUL WASID | Contact No | 9903707692 |
| Address | 57 N. N. ROY STREET | Age | 20 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||