Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12414 | Date 01/09/2023 |
| Token No | SM/22-23/24059 01/09/2023 | Serial | 015 Last Visit: 29/09/2023 |
| Patient Name | Master SK SARUF | Contact No | 8583948703 |
| Address | 18/1 MUSALMAN PARA BYE LANE | Age | 1 Years,1 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 8.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||