Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07252 | Date 30/12/2019 |
| Token No | SM/19-20/16034 30/12/2019 | Serial | 023 Last Visit: 26/07/2025 |
| Patient Name | Mr. SK AKTAR | Contact No | 8777217927 |
| Address | 5/A MUSALMAN PARA BYE LANE CHATRA | Age | 24 Years,6 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||