Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09049 | Date 14/12/2020 |
| Token No | SM/21-22/8366 03/01/2022 | Serial | 004 Last Visit: 17/03/2022 |
| Patient Name | Mr. MD YOUSUF | Contact No | 9748523767 |
| Address | MOLLASIMLA , DAKSHINPARA SINGUR | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | 160.2 cm BMI: 27.275519 |
| Diagnosis | |||