Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 02818 | Date 16/08/2019 |
| Token No | SM/18-19/5665 16/08/2019 | Serial | 033 |
| Patient Name | Mr. IDRISH ALI | Contact No | 9874789985 |
| Address | PATUA PARA | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||