Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12676 | Date 30/10/2023 |
| Token No | SM/22-23/25718 30/10/2023 | Serial | 044 Last Visit: 30/10/2023 |
| Patient Name | Mr. SK DILBAR HUSSAIN | Contact No | 7449738066 |
| Address | 21 MUSALMAN PARA BAI LANE CHATRA SERAMPORE | Age | 14 Years,7 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||