Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02314 | Date 03/12/2018 |
| Token No | SM/21-22/713 22/04/2021 | Serial | 048 Last Visit: 02/11/2021 |
| Patient Name | Mr. SK SELIM | Contact No | 9831236433 |
| Address | 1 CHATRA MUSALMAN PARA | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||