Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 15865 | Date 08/08/2025 |
| Token No | SM/25-26/4663 08/08/2025 | Serial | 010 Last Visit: 08/08/2025 |
| Patient Name | Mr. MD ASHRAF | Contact No | 6291524560 |
| Address | 42 PANCHUGOPAL BHADHURI SARANI | Age | 24 Years,7 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||