Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03297 | Date 01/02/2019 |
| Token No | SM/24-25/32072 03/05/2024 | Serial | 037 Last Visit: 03/05/2024 |
| Patient Name | Mr. MD MUSTAK | Contact No | |
| Address | 15/E CHATRA MUSALMAN PARA SERAMPORE | Age | 63 Years,4 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||