Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04143 | Date 11/03/2019 |
| Token No | SM/19-20/3415 25/05/2019 | Serial | 041 Last Visit: 09/10/2023 |
| Patient Name | Mr. SK NAUSAD | Contact No | 6291707443 |
| Address | CHATRA MUSALMAN PARA | Age | 35 Years,9 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||