Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00605 | Date 21/08/2018 |
| Token No | SM/18-19/7597 30/01/2019 | Serial | 027 Last Visit: 13/08/2025 |
| Patient Name | Baby SADIYA KHATUN | Contact No | 9007733611 |
| Address | 9, ARBINDO SARNI CHATRA | Age | 11 Years,5 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||