Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10421 | Date 15/12/2021 |
| Token No | SM/21-22/7801 15/12/2021 | Serial | 025 Last Visit: 28/09/2022 |
| Patient Name | Mr. SK. RUMJAN | Contact No | 6289057299 |
| Address | 13,MUSHALMAN PARA BYE LANE | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | 166 / min | Height | cm BMI: inf |
| Diagnosis | |||