Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01836 | Date 01/11/2018 |
| Token No | SM/18-19/9981 06/03/2019 | Serial | 071 Last Visit: 06/03/2019 |
| Patient Name | Baby SUJANA KHATUN | Contact No | 7890681416 |
| Address | CHATRA MUSALMAN PARA | Age | 7 M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||