Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07620 | Date 24/02/2020 |
| Token No | SM/19-20/18582 24/02/2020 | Serial | 058 Last Visit: 24/02/2020 |
| Patient Name | Mr. MD KUDRAT | Contact No | |
| Address | CHATRA MUSALMAN PARA CHATUGANG | Age | 77 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||