Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11841 | Date 10/01/2023 |
| Token No | SM/22-23/19640 10/01/2023 | Serial | 038 Last Visit: 10/01/2023 |
| Patient Name | Baby RAIQA KHATUN | Contact No | 8910237477 |
| Address | 18 CHATRA MUSALMAN PARA BYE LANE | Age | 2M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||