Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15811 | Date 01/08/2025 |
| Token No | SM/25-26/4364 01/08/2025 | Serial | 012 Last Visit: 01/08/2025 |
| Patient Name | Baby TABASUM PARBIN | Contact No | 7439459059 |
| Address | MUSALMAN PARA LANE | Age | 3 Years,10 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||