Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00840 | Date 30/08/2018 |
| Token No | SM/18-19/1065 30/08/2018 | Serial | 019 Last Visit: 24/06/2024 |
| Patient Name | Baby SAMBIN YASMIN | Contact No | |
| Address | 7/B MUSALMAN PARA CHATRA | Age | 6 Years,5 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||