Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06954 | Date 22/11/2019 |
| Token No | SM/19-20/15467 17/12/2019 | Serial | 018 Last Visit: 10/11/2020 |
| Patient Name | Baby SAIMA KHATUN | Contact No | 9831077175 |
| Address | 40 CHATRA MUSALMAN PARA BYE LANE | Age | 3 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||