Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00031 | Date 01/08/2018 |
| Token No | SM/22-23/25473 17/10/2023 | Serial | 038 Last Visit: 12/04/2024 |
| Patient Name | Master SK. ADNAN | Contact No | |
| Address | KUMORPARA CHATRA | Age | 6 Years,3 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||