Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12388 | Date 29/08/2023 |
| Token No | SM/22-23/23986 29/08/2023 | Serial | 032 Last Visit: 29/08/2023 |
| Patient Name | Miss ANSHU KHATUN | Contact No | 8910065878 |
| Address | CHATRA MUSALMAN PARA | Age | 5 Years,7 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||