Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01746 | Date 29/10/2018 |
| Token No | SM/18-19/3086 29/10/2018 | Serial | 058 Last Visit: 22/07/2025 |
| Patient Name | Mrs. SAKINA BIBI | Contact No | 9831236433 |
| Address | 1, CHATRA MUSALMAN PARA | Age | 28 Years,6 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||