Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02697 | Date 27/12/2018 |
| Token No | SM/19-20/13394 16/11/2019 | Serial | 054 Last Visit: 13/12/2025 |
| Patient Name | Miss SULTANA KHATUN | Contact No | 8420739777 |
| Address | 28 MUSALMAN PARA LANE,(TIKIYA PARA) | Age | 14 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||