Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04372 | Date 25/03/2019 |
| Token No | SM/19-20/2788 15/05/2019 | Serial | 028 Last Visit: 17/11/2023 |
| Patient Name | Master AHIL RAHAMAN | Contact No | 9051217654 |
| Address | CHATRA MUSALMAN PARA | Age | 4 Years,10 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||