Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07502 | Date 07/02/2020 |
| Token No | SM/19-20/17778 07/02/2020 | Serial | 051 Last Visit: 07/02/2020 |
| Patient Name | Mr. MD HAFIDULLA | Contact No | 6235648758 |
| Address | CHOTOBELUR CHECK POST | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||