Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02374 | Date 06/12/2018 |
| Token No | SM/20-21/27157 05/11/2020 | Serial | 018 Last Visit: 13/04/2021 |
| Patient Name | Mr. SK SAGIR | Contact No | 9163750481 |
| Address | CHATRA MUSALMAN PARA | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||