Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02892 | Date 08/01/2019 |
| Token No | SM/18-19/6471 08/01/2019 | Serial | 025 Last Visit: 21/06/2024 |
| Patient Name | Mr. MAMUNI BEGAM | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 23 Years,5 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||