Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01055 | Date 11/09/2018 |
| Token No | SM/19-20/3131 21/05/2019 | Serial | 079 Last Visit: 04/03/2024 |
| Patient Name | Mrs. JINAT ZABIN | Contact No | 8981817290 |
| Address | 45/A N.N RAY STREET | Age | 39 Years,2 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||