Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12159 | Date 16/06/2023 |
| Token No | SM/22-23/22270 16/06/2023 | Serial | 012 Last Visit: 16/06/2023 |
| Patient Name | Mr. JABER KHAN | Contact No | 7679769755 |
| Address | MUSLIM PARA KETHARDANGA | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||