Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13328 | Date 23/02/2024 |
| Token No | SM/25-26/4429 02/08/2025 | Serial | 022 Last Visit: 02/08/2025 |
| Patient Name | Baby ARMIN KHATUN | Contact No | 6289568085 |
| Address | 36/A CHATARA MUSALMAN PARA BYE LANE | Age | 3 Years,2 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||