Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13697 | Date 16/05/2024 |
| Token No | SM/24-25/32584 16/05/2024 | Serial | 031 Last Visit: 16/05/2024 |
| Patient Name | Baby ASMA KHATUN | Contact No | |
| Address | 21 MUSALMAN PARA BYE LANE | Age | 4 Years,5 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||