Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02018 | Date 19/11/2018 |
| Token No | SM/20-21/27674 23/11/2020 | Serial | 042 Last Visit: 23/11/2020 |
| Patient Name | Mr. SK SIRAJ | Contact No | 9231506296 |
| Address | 1, MUSALMAN PARA BY LANE | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||