Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00692 | Date 25/08/2018 |
| Token No | SM/19-20/17176 25/01/2020 | Serial | 019 Last Visit: 18/07/2022 |
| Patient Name | Baby FARHANA KHATUN | Contact No | 6289880145 |
| Address | CHATRA MUSALMAN PARA SERAMPORE | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||