Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03396 | Date 06/02/2019 |
| Token No | SM/22-23/11570 09/04/2022 | Serial | 001 Last Visit: 13/05/2024 |
| Patient Name | Miss NURJAHAN KHATUN | Contact No | 6291707443 |
| Address | CHATRA KUMAR PARA | Age | 11 Years,1 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||