Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01425 | Date 29/09/2018 |
| Token No | SM/18-19/2256 29/09/2018 | Serial | 044 Last Visit: 29/09/2018 |
| Patient Name | Mr. SK SADAM HUSSAIN | Contact No | 9874838218 |
| Address | CHTARA MUSALAMAN PARA | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 53.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||