Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12103 | Date 19/05/2023 |
| Token No | SM/22-23/21738 19/05/2023 | Serial | 019 Last Visit: 19/05/2023 |
| Patient Name | Master AAFRIN KHATOON | Contact No | 9073311180 |
| Address | 13 MUSALMAN PARA BYE LANE | Age | 1.8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||