Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12229 | Date 12/07/2023 |
| Token No | SM/22-23/22831 12/07/2023 | Serial | 015 Last Visit: 30/07/2025 |
| Patient Name | Master MD RAMJAN | Contact No | |
| Address | 25/C KANAI DEWAN TALA LANE | Age | 13 Years,1 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 28.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||