Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06514 | Date 23/09/2019 |
| Token No | SM/19-20/10960 23/09/2019 | Serial | 087 Last Visit: 23/09/2019 |
| Patient Name | Baby SABA PARVHIN | Contact No | |
| Address | 56 N.N. ROY STREET | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||