Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05518 | Date 22/06/2019 |
| Token No | SM/19-20/5065 22/06/2019 | Serial | 026 Last Visit: 18/06/2024 |
| Patient Name | Mr. MD KURBAN | Contact No | 7439132532 |
| Address | 21 MUSALMAN PARA BYE LANE | Age | 13 Years,5 Months,16 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||