Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00495 | Date 16/08/2018 |
| Token No | SM/18-19/557 16/08/2018 | Serial | 045 Last Visit: 24/02/2025 |
| Patient Name | Baby KHUSHI KHATOON | Contact No | 7890818112 |
| Address | CHATRA MUSLMAN PARA | Age | 11 Years,7 Months,27 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||