Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08194 | Date 02/05/2020 |
| Token No | SM/19-20/21826 02/05/2020 | Serial | 008 Last Visit: 02/05/2020 |
| Patient Name | Mr. MD FAHIM ANSARI | Contact No | 6290667872 |
| Address | CHATRA MUSALMANPARA | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||