Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08027 | Date 06/04/2020 |
| Token No | SM/19-20/22232 14/05/2020 | Serial | 016 Last Visit: 30/03/2021 |
| Patient Name | Mr. SK.SOLEMAN ALI | Contact No | 8584939604 |
| Address | 7, MUSALMAN PARA BYE LANE | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||