Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12215 | Date 10/07/2023 |
| Token No | SM/22-23/27294 18/12/2023 | Serial | 024 Last Visit: 17/01/2025 |
| Patient Name | Master SK HASSAN | Contact No | 6291140330 |
| Address | 12 CHATRA MUSALMAN PARA | Age | 3 Years,0 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||