Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12387 | Date 29/08/2023 |
| Token No | SM/22-23/23985 29/08/2023 | Serial | 031 Last Visit: 29/08/2023 |
| Patient Name | Mr. SK PRINCE | Contact No | 8910065878 |
| Address | CHATRA MUSALMAN PARA | Age | 3 Years,7 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||