Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05550 | Date 24/06/2019 |
| Token No | SM/19-20/5226 24/06/2019 | Serial | 092 Last Visit: 16/08/2019 |
| Patient Name | Mr. SUBODH SARKER | Contact No | 9874715495 |
| Address | 188 RAJYADHARPUR GOVT.COLONY | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||