Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08824 | Date 06/10/2020 |
| Token No | SM/20-21/26382 06/10/2020 | Serial | 037 Last Visit: 06/10/2020 |
| Patient Name | Mr. MD SAJID | Contact No | 6291675721 |
| Address | 21 KANAI DEWAN TALA LANE | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||