Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08811 | Date 03/10/2020 |
| Token No | SM/24-25/32115 04/05/2024 | Serial | 032 Last Visit: 04/05/2024 |
| Patient Name | Mr. HASMUTULLA | Contact No | |
| Address | SHEORAPHULI | Age | 44 Years,4 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||