Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00763 | Date 28/08/2018 |
| Token No | SM/18-19/8598 13/02/2019 | Serial | 065 Last Visit: 09/02/2024 |
| Patient Name | Miss FATEMA KHATUN | Contact No | 9051672355 |
| Address | 18 CHATRA MUSALMAN PARA /LANE | Age | 9 Years,4 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||