Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05653 | Date 02/07/2019 |
| Token No | SM/19-20/5787 02/07/2019 | Serial | 077 Last Visit: 02/07/2019 |
| Patient Name | Mr. GOLAM SABIR | Contact No | 8013553036 |
| Address | TIKIYA PARA MUSALMANPARA LANE | Age | 84 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||