Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01096 | Date 13/09/2018 |
| Token No | SM/18-19/1595 13/09/2018 | Serial | 018 Last Visit: 21/02/2025 |
| Patient Name | Mrs. MANISHA KHATUN | Contact No | 6291658495 |
| Address | 29/A MUSALMAN PARA BYE LANE | Age | 23 Years,2 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 90/70 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||