Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12309 | Date 04/08/2023 |
| Token No | SM/22-23/23367 04/08/2023 | Serial | 012 Last Visit: 23/08/2023 |
| Patient Name | Miss RUKSHAR KHATUN | Contact No | 7449738066 |
| Address | MUSALMAN PARA BYE LANE | Age | 5 Years,11 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||