Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10804 | Date 14/03/2022 |
| Token No | SM/21-22/10780 14/03/2022 | Serial | 039 Last Visit: 14/03/2022 |
| Patient Name | Baby JUBEDA KHATUN | Contact No | |
| Address | CHATRA MUSALMANPARA | Age | 2 MONTHS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||