Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06226 | Date 26/08/2019 |
| Token No | SM/19-20/9179 26/08/2019 | Serial | 095 Last Visit: 19/04/2022 |
| Patient Name | Mr. SK SIRAJUL | Contact No | 9903530958 |
| Address | BAROBELO , BELUMILKI | Age | 65YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||