Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12606 | Date 11/10/2023 |
| Token No | SM/22-23/25191 11/10/2023 | Serial | 001 Last Visit: 11/10/2023 |
| Patient Name | Baby NOORI FATIMA | Contact No | 8100519918 |
| Address | 5,PARSHI LANE,SIL BAGAN | Age | 3 Years,11 Months,3 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||