Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00968 | Date 07/09/2018 |
| Token No | SM/21-22/2324 17/06/2021 | Serial | 020 Last Visit: 03/03/2022 |
| Patient Name | Mr. SK MUNNA | Contact No | |
| Address | CHATRA MUSALMAN PARA,BY LANE | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||