Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12156 | Date 15/06/2023 |
| Token No | SM/22-23/22235 15/06/2023 | Serial | 007 Last Visit: 24/09/2025 |
| Patient Name | Mr. SEKH SANTU | Contact No | 8697436527 |
| Address | 10/D MUSALMAN PARA BYE LANE | Age | 49 Years,1 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||