Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14230 | Date 05/09/2024 |
| Token No | SM/24-25/36841 05/09/2024 | Serial | 028 Last Visit: 05/09/2024 |
| Patient Name | Baby MUSRAT KHATOON | Contact No | 9330827964 |
| Address | 7 ARABINDA SARANI SERAMPORE | Age | 1 Years,7 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||