Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09236 | Date 01/02/2021 |
| Token No | SM/20-21/29969 01/02/2021 | Serial | 033 Last Visit: 01/02/2021 |
| Patient Name | Mr. SK MURTUJUDDIN | Contact No | 9748931100 |
| Address | 17/A CHATRA MUSALMAN PARA | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||