Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06824 | Date 09/11/2019 |
| Token No | SM/21-22/3 01/04/2021 | Serial | 003 Last Visit: 10/07/2023 |
| Patient Name | Mr. SK ANSAR ALI | Contact No | 6290206619 |
| Address | 88/D ,MIAJAN DARJEE LANE | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||