Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10370 | Date 01/12/2021 |
| Token No | SM/21-22/7385 01/12/2021 | Serial | 034 Last Visit: 13/12/2021 |
| Patient Name | Mr. SEKH NASIRUDDIN | Contact No | 9831425932 |
| Address | THAKURHAT | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||