Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04645 | Date 09/04/2019 |
| Token No | SM/19-20/585 09/04/2019 | Serial | 039 Last Visit: 09/04/2019 |
| Patient Name | Baby SK HANAL | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 1 Y 6 M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||