Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07639 | Date 26/02/2020 |
| Token No | SM/20-21/29772 25/01/2021 | Serial | 056 Last Visit: 20/11/2025 |
| Patient Name | Mr. SK FARUK | Contact No | 9330312977 |
| Address | 7/A MUSALMAN PARAB YE LANE | Age | 50 Years,10 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||