Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00964 | Date 06/09/2018 |
| Token No | SM/18-19/4737 05/12/2018 | Serial | 061 Last Visit: 01/12/2023 |
| Patient Name | Mrs. RUPA BIBI | Contact No | 6289772138 |
| Address | 18/1 CHATRA MUSALMAN PARA | Age | 21 Years,11 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||