Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10584 | Date 19/01/2022 |
| Token No | SM/21-22/9097 19/01/2022 | Serial | 003 Last Visit: 19/01/2022 |
| Patient Name | Mr. SK ALIMUDDIN | Contact No | 9330635984 |
| Address | 29 MUSALMAN PARA BYE LANE, | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | 164.5 cm BMI: 24.759564 |
| Diagnosis | |||