Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02038 | Date 19/11/2018 |
| Token No | SM/18-19/3900 19/11/2018 | Serial | 067 Last Visit: 19/10/2023 |
| Patient Name | Miss SIMRAN KHATUN | Contact No | |
| Address | 12 NO CHATRA MUSALMAN PARA | Age | 11 Years,9 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||