Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06541 | Date 25/09/2019 |
| Token No | SM/19-20/11110 25/09/2019 | Serial | 052 Last Visit: 27/05/2024 |
| Patient Name | Mr. SK SABIR ALI | Contact No | 9681981014 |
| Address | 19/C CHATRA KUMER PARA. | Age | 38 Years,4 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||