Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07693 | Date 02/03/2020 |
| Token No | SM/25-26/4673 08/08/2025 | Serial | 020 Last Visit: 08/08/2025 |
| Patient Name | Miss KHUSHI KHATUN | Contact No | 6289169811 |
| Address | 5/A CHATRA MUSALMAN PARA BYE LANE | Age | 12 Years,1 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||