Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00908 | Date 04/09/2018 |
| Token No | SM/18-19/7273 22/01/2019 | Serial | 044 Last Visit: 03/07/2023 |
| Patient Name | Mrs. HAFIZA BEGAM | Contact No | |
| Address | 3/B CHATRA MUSALMAN PARA | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||