Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09949 | Date 16/08/2021 |
| Token No | SM/22-23/22066 08/06/2023 | Serial | 033 Last Visit: 08/06/2023 |
| Patient Name | Miss MAHEDI KHATUN | Contact No | 9831322257 |
| Address | 21,MUSHALMAN PARA CHATRA SERAMPORE | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||