Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11428 | Date 13/08/2022 |
| Token No | SM/22-23/15679 13/08/2022 | Serial | 008 Last Visit: 27/08/2022 |
| Patient Name | Mr. IMRAN SEKH | Contact No | 9339369617 |
| Address | GOBRAMARI THAKURANIBERIA CANNING | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||