Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01522 | Date 05/10/2018 |
| Token No | SM/19-20/13975 25/11/2019 | Serial | 084 Last Visit: 28/11/2025 |
| Patient Name | Mr. SK ARFAN | Contact No | 9681319906 |
| Address | 20 CHATRA KUMAR PARA LANE | Age | 13 Years,2 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||