Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03260 | Date 31/01/2019 |
| Token No | SM/19-20/10981 23/09/2019 | Serial | 108 Last Visit: 13/10/2020 |
| Patient Name | Baby AHI KHATUN | Contact No | 9143327399 |
| Address | 1 CHATRA,MUSALMAN PARA | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||