Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06409 | Date 14/09/2019 |
| Token No | SM/19-20/10376 14/09/2019 | Serial | 055 Last Visit: 15/03/2024 |
| Patient Name | Miss RUKSANA KHATOON | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 30 Years,2 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||