Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 05615 | Date 28/06/2019 |
| Token No | SM/19-20/15015 10/12/2019 | Serial | 032 Last Visit: 05/10/2024 |
| Patient Name | Mr. UMAR FARUK | Contact No | 9088249604 |
| Address | 10 T. C. GOSWAMI STREET | Age | 46 Years,9 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||