Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08278 | Date 22/05/2020 |
| Token No | SM/19-20/22420 22/05/2020 | Serial | 030 Last Visit: 22/05/2020 |
| Patient Name | Mr. MD IBER | Contact No | 9674107583 |
| Address | 18/1 CHATRA MUSALMAN PARA BYE LANE | Age | 33 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||