Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06849 | Date 13/11/2019 |
| Token No | SM/19-20/13147 13/11/2019 | Serial | 074 Last Visit: 08/11/2023 |
| Patient Name | Mr. MD RAJA | Contact No | 9330052754 |
| Address | 36A CHATRA MUSALMAN PARA | Age | 22 Years,11 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||