Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00808 | Date 29/08/2018 |
| Token No | SM/18-19/1015 29/08/2018 | Serial | 021 Last Visit: 01/12/2023 |
| Patient Name | Baby RIMPA KHATUN | Contact No | 8583948703 |
| Address | 18/1 CHATRA MUSALMAN PARA BY LANE | Age | 8 Years,6 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||