Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04494 | Date 01/04/2019 |
| Token No | SM/19-20/43 01/04/2019 | Serial | 044 Last Visit: 01/04/2019 |
| Patient Name | Mr. SK ABDUL RAHAMAN | Contact No | 8207093398 |
| Address | BHAGAWATIPUR, JALAMADUL , BHAGABATIPUR | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||