Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05994 | Date 29/07/2019 |
| Token No | SM/19-20/7524 29/07/2019 | Serial | 060 Last Visit: 29/07/2019 |
| Patient Name | Mr. ASADUL | Contact No | 9932592296 |
| Address | MUSIDABADH | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||