Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13298 | Date 20/02/2024 |
| Token No | SM/25-26/671 23/04/2025 | Serial | 016 Last Visit: 23/04/2025 |
| Patient Name | Miss JAYSMIN KHATOON | Contact No | 8617268041 |
| Address | 30/A CHATRA MUSALMAN PARA BYE LANE | Age | 11 Years,11 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||