Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04133 | Date 09/03/2019 |
| Token No | SM/18-19/10282 09/03/2019 | Serial | 073 Last Visit: 09/03/2019 |
| Patient Name | Mr. SK HARUN | Contact No | 7278106699 |
| Address | 20 CHATRA KUMAR PARA | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||