Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00706 | Date 25/08/2018 |
| Token No | SM/18-19/865 25/08/2018 | Serial | 034 Last Visit: 20/11/2019 |
| Patient Name | Mr. SK RAFIKUDDIN | Contact No | 8981818260 |
| Address | 18 MUSALMAN PARA LANE | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/75 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||