Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11531 | Date 06/09/2022 |
| Token No | SM/22-23/16390 06/09/2022 | Serial | 004 Last Visit: 06/09/2022 |
| Patient Name | Baby AMENA KHATUN | Contact No | 914332399 |
| Address | CHATRA MUSALMAN PARA BYE LANE | Age | 1Y 9M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||