Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07166 | Date 16/12/2019 |
| Token No | SM/19-20/15413 16/12/2019 | Serial | 077 Last Visit: 16/12/2019 |
| Patient Name | Mr. SK ALAUDDIN | Contact No | 6289688851 |
| Address | 21/C CHATRA MUSALMAN PRA BYE LANE | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||