Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12209 | Date 07/07/2023 |
| Token No | SM/22-23/23101 24/07/2023 | Serial | 005 Last Visit: 24/07/2023 |
| Patient Name | Master SAHIL HUSSAIN | Contact No | 6289784363 |
| Address | 21 KUMAR PARA LANE | Age | 5 Years,6 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||