Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00298 | Date 10/08/2018 |
| Token No | SM/24-25/34291 29/06/2024 | Serial | 064 Last Visit: 29/06/2024 |
| Patient Name | Mrs. SAMA PARVIN | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 12 Years,5 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||