Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08265 | Date 16/05/2020 |
| Token No | SM/19-20/22291 16/05/2020 | Serial | 007 Last Visit: 29/10/2024 |
| Patient Name | Miss PARVIN KHATUN | Contact No | 8017131390 |
| Address | 15/A MUSALMAN PARA ROAD, SHEORAPHULY | Age | 31 Years,9 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||