Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00059 | Date 02/08/2018 |
| Token No | SM/19-20/25094 24/08/2020 | Serial | 036 Last Visit: 12/04/2024 |
| Patient Name | Mr. MD SARTAJ | Contact No | |
| Address | MUSALMAN PARA, CHATRA | Age | 14 Years,3 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||