Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00219 | Date 07/08/2018 |
| Token No | SM/18-19/228 07/08/2018 | Serial | 001 Last Visit: 02/05/2024 |
| Patient Name | Mr. MOHAMMAD ALI | Contact No | |
| Address | 7/D KUMORPARA, CHATRA | Age | 27 Years,4 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||