Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01054 | Date 11/09/2018 |
| Token No | SM/19-20/22722 04/06/2020 | Serial | 007 Last Visit: 25/08/2025 |
| Patient Name | Mrs. NASIMA BIBI | Contact No | 9007422129 |
| Address | 28/A CHATRA BAJAR ROAD | Age | 42 Years,7 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||