Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07599 | Date 22/02/2020 |
| Token No | SM/21-22/10912 21/03/2022 | Serial | 025 Last Visit: 21/03/2022 |
| Patient Name | Mr. AKBAR ALI | Contact No | 9123617894 |
| Address | 61/A/1 GODAR BAGAN BYELANE | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | 164 cm BMI: 23.795360 |
| Diagnosis | |||