Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08642 | Date 17/08/2020 |
| Token No | SM/19-20/24891 17/08/2020 | Serial | 053 Last Visit: 17/08/2020 |
| Patient Name | Mr. SK AZAHARUDDIN | Contact No | 9875314489 |
| Address | 19 MUSALMAN PARA BYE LANE | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||