Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02374 | Date 06/12/2018 |
| Token No | SM/19-20/4707 17/06/2019 | Serial | 024 Last Visit: 13/04/2021 |
| Patient Name | Mr. SK SAGIR | Contact No | 9163750481 |
| Address | CHATRA MUSALMAN PARA | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||