Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13670 | Date 09/05/2024 |
| Token No | SM/24-25/32312 09/05/2024 | Serial | 053 Last Visit: 09/05/2024 |
| Patient Name | Baby JENAB KHATUN | Contact No | |
| Address | CHATRA MUSALMAN PARA SERAMPORE | Age | 4 Years,4 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||