Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12351 | Date 21/08/2023 |
| Token No | SM/22-23/23712 21/08/2023 | Serial | 020 Last Visit: 21/08/2023 |
| Patient Name | Mr. AMAN HUSSAIN | Contact No | 9331322257 |
| Address | 21/A MUSALMAN PARA BYE LANE CHATRA | Age | 10 Years,9 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||