Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01514 | Date 04/10/2018 |
| Token No | SM/19-20/11404 01/10/2019 | Serial | 022 Last Visit: 10/05/2022 |
| Patient Name | Mrs. MALEKA BIBI | Contact No | |
| Address | 29/A CHATRA MUSALMAN PARA BYE LANE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||