Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02928 | Date 09/01/2019 |
| Token No | SM/19-20/3274 23/05/2019 | Serial | 022 Last Visit: 30/11/2021 |
| Patient Name | Mr. MD SHAMIM | Contact No | 9681653218 |
| Address | 56 N N ROY STREET | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||