Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12610 | Date 11/10/2023 |
| Token No | SM/22-23/25227 11/10/2023 | Serial | 037 Last Visit: 11/10/2023 |
| Patient Name | Baby FARIHA KHATUN | Contact No | 9748983741 |
| Address | MILKI BADAM TALA | Age | 3 Years,7 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||