Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09743 | Date 23/06/2021 |
| Token No | SM/25-26/3263 07/07/2025 | Serial | 008 Last Visit: 07/07/2025 |
| Patient Name | Baby SAMRIN KHATUN | Contact No | 6354184365 |
| Address | 19 SHEORAPHULY,CHATRA MUSALMAN PARA | Age | 6 Years,1 Months,23 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 16.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||