Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00014 | Date 01/08/2018 |
| Token No | SM/22-23/20533 10/03/2023 | Serial | 019 Last Visit: 18/11/2023 |
| Patient Name | Miss SULTANA PARVIN | Contact No | |
| Address | MUSALMAN PARA BYE LANE, CHATRA | Age | 11 Years,10 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||