Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08879 | Date 15/10/2020 |
| Token No | SM/20-21/26705 15/10/2020 | Serial | 048 Last Visit: 15/10/2020 |
| Patient Name | Mr. REHAN HUSSAIN | Contact No | |
| Address | RISHRA | Age | 18 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||