Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02253 | Date 30/11/2018 |
| Token No | SM/18-19/4473 30/11/2018 | Serial | 062 Last Visit: 16/01/2019 |
| Patient Name | Mr. KAJI ASRUDDIN | Contact No | 9163162176 |
| Address | MALLICK PARA | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||