Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04894 | Date 24/04/2019 |
| Token No | SM/19-20/1587 24/04/2019 | Serial | 057 Last Visit: 24/04/2019 |
| Patient Name | Mr. MD NAOIM | Contact No | 9088050413 |
| Address | ANURBATI ANTPUR JANGIPARA | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||