Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00329 | Date 10/08/2018 |
| Token No | SM/24-25/34007 24/06/2024 | Serial | 052 Last Visit: 24/06/2024 |
| Patient Name | Mr. MD. ARIF | Contact No | |
| Address | CHATUGANG , SHEWRAPHULI | Age | 33 Years,5 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||