Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00810 | Date 29/08/2018 |
| Token No | SM/18-19/1017 29/08/2018 | Serial | 023 Last Visit: 04/03/2020 |
| Patient Name | Baby MEHEK KHATUN | Contact No | 7449935695 |
| Address | 41 CHATRA MUSALMAN PARA | Age | 1.4 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||