Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04570 | Date 05/04/2019 |
| Token No | SM/19-20/21069 13/04/2020 | Serial | 037 Last Visit: 24/08/2024 |
| Patient Name | Mr. MD CHAND | Contact No | 7450937026 |
| Address | 15/E MUSALMAN PARA SEORAPHULY, | Age | 45 Years,7 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||