Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11904 | Date 30/01/2023 |
| Token No | SM/22-23/20151 30/01/2023 | Serial | 056 Last Visit: 29/07/2024 |
| Patient Name | Master SK SAKIBUL | Contact No | 8617250257 |
| Address | 14 NO CHATRA MUSALMANPARA BYE LANE | Age | 11 Years,4 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||