Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09377 | Date 22/03/2021 |
| Token No | SM/20-21/31038 22/03/2021 | Serial | 016 Last Visit: 07/09/2023 |
| Patient Name | Mr. MOHMAD ASHRAF ALI | Contact No | 8334920722 |
| Address | CHATRA MUSALMANPARA | Age | 25 Years,8 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||