Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11760 | Date 10/12/2022 |
| Token No | SM/22-23/18765 10/12/2022 | Serial | 044 Last Visit: 10/12/2022 |
| Patient Name | Mr. SK SURAJ | Contact No | 8100256708 |
| Address | 3/A MUSALMAN PARA BYE LANE | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||