Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12406 | Date 31/08/2023 |
| Token No | SM/22-23/24041 31/08/2023 | Serial | 055 Last Visit: 31/08/2023 |
| Patient Name | Master SK BAPPA | Contact No | 6291550700 |
| Address | 49/A CHATRA MUSALMAN PARA | Age | 8 Years,8 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||