Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03554 | Date 13/02/2019 |
| Token No | SM/19-20/12869 07/11/2019 | Serial | 040 Last Visit: 10/07/2020 |
| Patient Name | Mr. GOUTAM PASWAN | Contact No | 6291821831 |
| Address | 13 N N ROY STREET**************MISBEHAVE**********SHOULD TAKE PERMISSION FROM DR. A. HOSSAIN BEFOR ENTRY | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 95 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||