Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01709 | Date 27/10/2018 |
| Token No | SM/18-19/3000 27/10/2018 | Serial | 049 Last Visit: 21/05/2024 |
| Patient Name | Miss ROUNAK PARVEEN | Contact No | 8697619357 |
| Address | 13, CHATRA MUSALMAN PARA | Age | 7 Years,4 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||