Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03380 | Date 05/02/2019 |
| Token No | SM/19-20/277 04/04/2019 | Serial | 066 Last Visit: 04/04/2019 |
| Patient Name | Mr. SK RAHAMAD | Contact No | |
| Address | 36/A CHATRA MUSALMAN PARA | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||