Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05952 | Date 25/07/2019 |
| Token No | SM/19-20/7291 25/07/2019 | Serial | 044 Last Visit: 25/07/2019 |
| Patient Name | Mr. KALIM | Contact No | 8918676944 |
| Address | CHATRA JAL TANK | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||