Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01601 | Date 10/10/2018 |
| Token No | SM/21-22/4726 03/09/2021 | Serial | 046 Last Visit: 03/09/2021 |
| Patient Name | Mr. SK SAIFUDDIN | Contact No | 9330613343 |
| Address | 41 CHATRA MUSALMAN PARA ROAD | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||