Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01612 | Date 10/10/2018 |
| Token No | SM/18-19/2732 10/10/2018 | Serial | 057 Last Visit: 07/03/2024 |
| Patient Name | Baby SABNAM KHATUN | Contact No | 8820186193 |
| Address | CHATRA MUSALMAN PARA | Age | 7 Years,2 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||