Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14915 | Date 29/01/2025 |
| Token No | SM/24-25/42233 29/01/2025 | Serial | 031 Last Visit: 29/01/2025 |
| Patient Name | Mr. MD ISSA | Contact No | 9062448867 |
| Address | 33 CHATRA MUSALMAN PARA CHATRA | Age | 60 Years,0 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||