Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 11505 | Date 30/08/2022 |
| Token No | SM/22-23/16141 30/08/2022 | Serial | 004 Last Visit: 30/08/2022 |
| Patient Name | Master ARIF GAZI | Contact No | 7439639734 |
| Address | 50/J BAIDYABATI(M)GAJI PARA | Age | 4YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||