Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03928 | Date 01/03/2019 |
| Token No | SM/18-19/9651 01/03/2019 | Serial | 026 Last Visit: 01/03/2019 |
| Patient Name | Mr. MUKTA AHAMAD | Contact No | 8961605979 |
| Address | RISHRA | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||