Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05652 | Date 02/07/2019 |
| Token No | SM/19-20/5779 02/07/2019 | Serial | 069 Last Visit: 02/07/2019 |
| Patient Name | Master AYUB ALI | Contact No | 8981818260 |
| Address | CHATRA MUSALMAN PARA | Age | 4.5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||