Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02719 | Date 28/12/2018 |
| Token No | SM/18-19/5907 28/12/2018 | Serial | 049 Last Visit: 29/09/2023 |
| Patient Name | Mrs. JARINA BIBI | Contact No | 8478927528 |
| Address | 11 CHATRA MUSALMAN PARA | Age | 57 Years,8 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||