Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02078 | Date 22/11/2018 |
| Token No | SM/24-25/33281 05/06/2024 | Serial | 042 Last Visit: 05/06/2024 |
| Patient Name | Mr. SK NAJIR | Contact No | 9062193387 |
| Address | CHATRA MUSALMAN PARA | Age | 14 Years,5 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||