Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13662 | Date 06/05/2024 |
| Token No | SM/24-25/32346 10/05/2024 | Serial | 006 Last Visit: 10/05/2024 |
| Patient Name | Miss TARA KHATOON | Contact No | 8617799416 |
| Address | CHATRA MUSALMAN PARA | Age | 6 Years,0 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||