Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06007 | Date 30/07/2019 |
| Token No | SM/19-20/7592 30/07/2019 | Serial | 041 Last Visit: 30/07/2019 |
| Patient Name | Mr. SK JAMAL | Contact No | 9002353444 |
| Address | MUSIDABAD | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||