Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14499 | Date 06/11/2024 |
| Token No | SM/24-25/39088 06/11/2024 | Serial | 065 Last Visit: 06/11/2024 |
| Patient Name | Master JUNIYA KHATUN | Contact No | |
| Address | 22 NO KUMOR PARA | Age | 1 Years,7 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||