Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07967 | Date 30/03/2020 |
| Token No | SM/19-20/23441 26/06/2020 | Serial | 016 Last Visit: 03/01/2022 |
| Patient Name | Mr. MD SAHIL | Contact No | 8336848347 |
| Address | CHATRA MUSALMANPARA | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||