Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11348 | Date 27/07/2022 |
| Token No | SM/24-25/34142 26/06/2024 | Serial | 067 Last Visit: 26/06/2024 |
| Patient Name | Mr. SK GOLAM ALI | Contact No | 9051911483 |
| Address | CHATRA MUSALMAN PARA BYE LANE | Age | 15 Years,0 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||