Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10782 | Date 11/03/2022 |
| Token No | SM/21-22/10691 11/03/2022 | Serial | 044 Last Visit: 11/03/2022 |
| Patient Name | Mr. SK SUROJ | Contact No | 9163117553 |
| Address | 5/A/1 MUSALMAN PARA BYE LANE CHATRA | Age | 20 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 174.5 cm BMI: 18.062249 |
| Diagnosis | |||