Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03785 | Date 22/02/2019 |
| Token No | SM/18-19/9245 22/02/2019 | Serial | 022 Last Visit: 31/07/2023 |
| Patient Name | Mrs. SABERA BIBI | Contact No | 9163179579 |
| Address | CHATRA KUMER PARA, | Age | 47 Years,6 Months,28 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||