Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07383 | Date 21/01/2020 |
| Token No | SM/19-20/16974 21/01/2020 | Serial | 018 Last Visit: 16/07/2025 |
| Patient Name | Mr. SK ARSAD | Contact No | 8777217927 |
| Address | 5/A MUSALMAN PARA BYE LANE | Age | 64 Years,6 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||