Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12642 | Date 16/10/2023 |
| Token No | SM/22-23/25428 16/10/2023 | Serial | 075 Last Visit: 16/10/2023 |
| Patient Name | Miss RUKSONA KHATUN | Contact No | 9123850282 |
| Address | 20NO KUMARPARA CHATRA | Age | 11 Years,2 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||