Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07599 | Date 22/02/2020 |
| Token No | SM/19-20/18841 28/02/2020 | Serial | 027 Last Visit: 21/03/2022 |
| Patient Name | Mr. AKBAR ALI | Contact No | 9123617894 |
| Address | 61/A/1 GODAR BAGAN BYELANE | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||