Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08025 | Date 06/04/2020 |
| Token No | SM/19-20/20782 06/04/2020 | Serial | 033 Last Visit: 06/04/2020 |
| Patient Name | Mr. AJAY SAHANI | Contact No | 8777205744 |
| Address | 10/A PANCHU BAJAR NUTUN BAGAN LANE | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||