Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02161 | Date 27/11/2018 |
| Token No | SM/18-19/7478 25/01/2019 | Serial | 068 Last Visit: 29/01/2025 |
| Patient Name | Mr. SK AFROZ | Contact No | 9748770281 |
| Address | 4/A CHATRA MUSALMAN PARA | Age | 7 Years,9 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||