Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03216 | Date 29/01/2019 |
| Token No | SM/22-23/27320 19/12/2023 | Serial | 004 Last Visit: 19/11/2025 |
| Patient Name | Master SK AMIR | Contact No | 6291707443 |
| Address | 29/A CHATRA MUSALMAN PARA BYE LANE | Age | 8 Years,0 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||