Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00968 | Date 07/09/2018 |
| Token No | SM/18-19/6989 17/01/2019 | Serial | 069 Last Visit: 03/03/2022 |
| Patient Name | Mr. SK MUNNA | Contact No | |
| Address | CHATRA MUSALMAN PARA,BY LANE | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||