Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06502 | Date 23/09/2019 |
| Token No | SM/19-20/10917 23/09/2019 | Serial | 044 Last Visit: 23/09/2019 |
| Patient Name | Mr. AKBAR | Contact No | 7685984573 |
| Address | CHATRA MUSALMAN PARA | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||