Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02643 | Date 21/12/2018 |
| Token No | SM/18-19/5618 21/12/2018 | Serial | 068 Last Visit: 29/09/2023 |
| Patient Name | Miss TUMPA KHATUN | Contact No | 8583948703 |
| Address | CHATRA MUSALMAN PARA,BY LANE | Age | 7 Years,8 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||