Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05898 | Date 23/07/2019 |
| Token No | SM/19-20/14092 27/11/2019 | Serial | 001 Last Visit: 13/03/2020 |
| Patient Name | Mr. SEKH AMJET | Contact No | 9830358058 |
| Address | CHATRA MUSALMAN PARA | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||