Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08836 | Date 08/10/2020 |
| Token No | SM/21-22/8548 05/01/2022 | Serial | 060 Last Visit: 05/01/2022 |
| Patient Name | Mr. MOINUR RAHAMAN | Contact No | 7449834983 |
| Address | DIGBERIA MAJHER PARA, MADHYAMGRAM, MADHYAMGRAM(M), N 24 PGS, 700128 | Age | 7.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||