Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11000 | Date 12/05/2022 |
| Token No | SM/22-23/14415 07/07/2022 | Serial | 037 Last Visit: 21/10/2023 |
| Patient Name | Baby ALINA KHATUN | Contact No | 9051672355 |
| Address | CHATRA MUSALMAN PARA BYE LANE | Age | 3 Years,0 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||