Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11435 | Date 13/08/2022 |
| Token No | SM/22-23/15706 13/08/2022 | Serial | 035 Last Visit: 21/11/2025 |
| Patient Name | Mr. SK NAJIR | Contact No | 7439938905 |
| Address | 10/D MUSALMAN PARA | Age | 20 Years,6 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||