Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08040 | Date 07/04/2020 |
| Token No | SM/20-21/26139 29/09/2020 | Serial | 039 Last Visit: 29/09/2020 |
| Patient Name | Mr. SK ALIMUDDIN | Contact No | 9433936199 |
| Address | 19 NO MUSALMANPARA BYE LANE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||