Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01428 | Date 29/09/2018 |
| Token No | SM/18-19/8094 05/02/2019 | Serial | 085 Last Visit: 28/05/2025 |
| Patient Name | Miss FARAH KAHTUN | Contact No | 9674107583 |
| Address | 18/1 CHATRA MUSALMAN PARA BYE LANE | Age | 10 Years,0 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||