Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14500 | Date 06/11/2024 |
| Token No | SM/24-25/39089 06/11/2024 | Serial | 066 Last Visit: 06/11/2024 |
| Patient Name | Baby MD NIJAM | Contact No | |
| Address | 18 A MP BYE LANE | Age | 0 Years,3 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||