Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10481 | Date 31/12/2021 |
| Token No | SM/21-22/8333 31/12/2021 | Serial | 020 Last Visit: 08/02/2022 |
| Patient Name | Master SK AAYAN RAHAMAN | Contact No | 9831072672 |
| Address | 32 TIKIYA PARA | Age | 2.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||