Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06028 | Date 01/08/2019 |
| Token No | SM/19-20/7714 01/08/2019 | Serial | 045 Last Visit: 01/08/2019 |
| Patient Name | Mr. PIYARUL SEIKH | Contact No | 8777751299 |
| Address | MUSIDABADH (WORK AT CHATRA JAL TANK) | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||