Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01091 | Date 13/09/2018 |
| Token No | SM/18-19/1585 13/09/2018 | Serial | 008 Last Visit: 13/09/2018 |
| Patient Name | Mr. SK KUTUBUDDIN | Contact No | 8094909532 |
| Address | 17/A MUSALMAN PARA BYE LANE CHATRA | Age | 32.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 97/66 mmHg | Weight | 60 KG |
| Pulse Rate | 84 / min | Height | cm BMI: inf |
| Diagnosis | |||