Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05518 | Date 22/06/2019 |
| Token No | SM/22-23/17035 23/09/2022 | Serial | 024 Last Visit: 18/06/2024 |
| Patient Name | Mr. MD KURBAN | Contact No | 7439132532 |
| Address | 21 MUSALMAN PARA BYE LANE | Age | 13 Years,5 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||