Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00954 | Date 24/09/2018 |
| Token No | SM/18-19/1235 24/09/2018 | Serial | 014 |
| Patient Name | Mr. MD NASIRUDDIN | Contact No | NOT GIVEN |
| Address | JOLKOL WARKER | Age | 58 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 118/64 mmHg | Weight | KG |
| Pulse Rate | 62 / min | Height | cm |
| Diagnosis | |||