Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00911 | Date 04/09/2018 |
| Token No | SM/21-22/6161 23/10/2021 | Serial | 028 Last Visit: 11/03/2023 |
| Patient Name | Mr. SK IRSHAD | Contact No | 8697619357 |
| Address | 13 CHATRA MUSALMAN PARA | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||