Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06540 | Date 25/09/2019 |
| Token No | SM/19-20/11108 25/09/2019 | Serial | 050 Last Visit: 25/09/2019 |
| Patient Name | Mr. MD DILBAR HUSSAIN | Contact No | 9733610796 |
| Address | 7 ARABINDA SARANI,KUMAR PARA | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||