Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05228 | Date 25/05/2019 |
| Token No | SM/21-22/5705 04/10/2021 | Serial | 026 Last Visit: 04/10/2021 |
| Patient Name | Mr. SK KAMARUDDIN | Contact No | 8820186193 |
| Address | 18 MUSALMAN PRA BYE LANE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||