Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06995 | Date 27/11/2019 |
| Token No | SM/21-22/1471 17/05/2021 | Serial | 056 Last Visit: 22/10/2021 |
| Patient Name | Mr. MD MUSTAK | Contact No | 9330489431 |
| Address | 56 N. N. ROY STREET | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||