Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15683 | Date 12/07/2025 |
| Token No | SM/25-26/3478 12/07/2025 | Serial | 033 Last Visit: 12/07/2025 |
| Patient Name | Baby RIFA KHATUN | Contact No | 6290944264 |
| Address | 7A MUSALMAN PARA BYE LANE SERAMPORE | Age | 1 Years,8 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||