Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06368 | Date 11/09/2019 |
| Token No | SM/19-20/10891 23/09/2019 | Serial | 018 Last Visit: 23/09/2019 |
| Patient Name | Mr. NIYAJ AKTAR | Contact No | 9330109248 |
| Address | 5/C GANDHI SARAK , RISHRA | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||