Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03142 | Date 22/01/2019 |
| Token No | SM/18-19/7292 22/01/2019 | Serial | 063 Last Visit: 16/04/2024 |
| Patient Name | Miss ANISHA KHATUN | Contact No | 9831236433 |
| Address | 1, CHATRA MUSALMAN PARA | Age | 12 Years,3 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||