Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02382 | Date 06/12/2018 |
| Token No | SM/18-19/4803 06/12/2018 | Serial | 058 Last Visit: 05/04/2019 |
| Patient Name | Miss NAJNI KHATUN | Contact No | 7686829852 |
| Address | CHATRA MUSALMAN PRA / LANE | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||