Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02703 | Date 27/12/2018 |
| Token No | SM/18-19/5819 27/12/2018 | Serial | 077 Last Visit: 01/08/2025 |
| Patient Name | Baby ASMILA KHATUN | Contact No | 7439100511 |
| Address | 21 CHATRA MUSALMAN PARA | Age | 7 Years,3 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||