Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11865 | Date 18/01/2023 |
| Token No | SM/22-23/19818 18/01/2023 | Serial | 004 Last Visit: 28/01/2023 |
| Patient Name | Mr. HALIM | Contact No | 7450884028 |
| Address | 21 MUSALMAN PARA BYE LANE | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||