Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03010 | Date 15/01/2019 |
| Token No | SM/19-20/5956 06/07/2019 | Serial | 019 Last Visit: 08/07/2019 |
| Patient Name | Mr. SK MARUF | Contact No | 8961248491 |
| Address | 23 DARJI LANE, | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||