Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04441 | Date 28/03/2019 |
| Token No | SM/19-20/23517 29/06/2020 | Serial | 025 Last Visit: 10/05/2024 |
| Patient Name | Miss NASIMA KHATUN | Contact No | 8617799416 |
| Address | 12 CHATRA,MUSALMAN PARA BYE LANE | Age | 33 Years,6 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||