Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12350 | Date 21/08/2023 |
| Token No | SM/22-23/23711 21/08/2023 | Serial | 019 Last Visit: 21/08/2023 |
| Patient Name | Mr. REHAN HUSSEN | Contact No | 9831322257 |
| Address | 19 MUSALMAN PARA BYE LANE | Age | 7 Years,9 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||