Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02865 | Date 07/01/2019 |
| Token No | SM/18-19/6394 07/01/2019 | Serial | 048 Last Visit: 24/02/2024 |
| Patient Name | Mr. SK ALAM | Contact No | |
| Address | MUSALMAN PARA CHATRA | Age | 18 Years,1 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||