Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12345 | Date 19/08/2023 |
| Token No | SM/22-23/23667 19/08/2023 | Serial | 003 Last Visit: 19/08/2023 |
| Patient Name | Mr. AKTAR HUSEN MALLIK | Contact No | 7003874729 |
| Address | 34 MUSALMAN PARA BYE LANE CHATRA | Age | 43 Years,0 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 133/80 mmHg | Weight | 86.6 KG |
| Pulse Rate | / min | Height | 171.3 cm BMI: 29.512307 |
| Diagnosis | |||