Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11618 | Date 26/09/2022 |
| Token No | SM/22-23/17111 26/09/2022 | Serial | 016 Last Visit: 26/09/2022 |
| Patient Name | Mr. SK MAHAMMAD ALI | Contact No | 8420973277 |
| Address | 7/D ARABINDA SARANI | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||