Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16320 | Date 28/11/2025 |
| Token No | SM/25-26/8389 28/11/2025 | Serial | 027 Last Visit: 28/11/2025 |
| Patient Name | Master SK ABBAS HASSAN | Contact No | 9874767977 |
| Address | 29/A CHATRA MUSALMAN PARA BYE LANE | Age | 0 Years,8 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||