Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04647 | Date 09/04/2019 |
| Token No | SM/19-20/589 09/04/2019 | Serial | 043 Last Visit: 09/04/2019 |
| Patient Name | Mr. MD SARAFAT | Contact No | 9903863328 |
| Address | 21 CHATRA,MUSALMAN PARA BY LANE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 134/86 mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||