Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06139 | Date 16/08/2019 |
| Token No | SM/19-20/8546 16/08/2019 | Serial | 129 Last Visit: 16/08/2019 |
| Patient Name | Mr. SK MEHRAJUL | Contact No | 6295651750 |
| Address | BANDPUR, MASAT | Age | 27 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||