Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07522 | Date 12/02/2020 |
| Token No | SM/19-20/17944 12/02/2020 | Serial | 054 Last Visit: 17/02/2020 |
| Patient Name | Mr. SAH ALAM | Contact No | 9330082321 |
| Address | CHATRA MUSALMAN PARA | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||