Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14534 | Date 13/11/2024 |
| Token No | SM/24-25/39357 13/11/2024 | Serial | 042 Last Visit: 29/11/2025 |
| Patient Name | Mr. SK SALMAN ALI | Contact No | 8100130472 |
| Address | 30/A CHATRA MUSALMAN PARA BYE LANE | Age | 12 Years,11 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||