Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06038 | Date 02/08/2019 |
| Token No | SM/19-20/8096 07/08/2019 | Serial | 039 Last Visit: 07/08/2019 |
| Patient Name | Mr. SK KHURSID | Contact No | |
| Address | 7 CHATRA MUSALMAN PARA | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||