Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06624 | Date 14/10/2019 |
| Token No | SM/19-20/14127 27/11/2019 | Serial | 036 Last Visit: 29/02/2020 |
| Patient Name | Baby MD AHSHAN | Contact No | 8509348194 |
| Address | CHATRA KUMER PARA | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||