Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00953 | Date 06/09/2018 |
| Token No | SM/18-19/1303 06/09/2018 | Serial | 028 Last Visit: 02/11/2020 |
| Patient Name | Baby MUSARRAT JAHAN | Contact No | 9088368560 |
| Address | CHATRA KUMARPARA | Age | 4.6 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||