Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00128 | Date 04/08/2018 |
| Token No | SM/18-19/2261 29/09/2018 | Serial | 049 Last Visit: 12/06/2025 |
| Patient Name | Mrs. BASIRUN NESSA | Contact No | 9674107583 |
| Address | CHATRA MUSALMAN PARA | Age | 34 Years,5 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||