Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03110 | Date 21/01/2019 |
| Token No | SM/21-22/1147 05/05/2021 | Serial | 006 Last Visit: 17/05/2022 |
| Patient Name | Mr. SK RAHIMUDDIN | Contact No | 8910237477 |
| Address | 18 CHATRA MUSALMAN PARA | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||