Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04649 | Date 09/04/2019 |
| Token No | SM/19-20/599 09/04/2019 | Serial | 053 Last Visit: 02/07/2025 |
| Patient Name | Mrs. SABINA YASMIN | Contact No | 6354184365 |
| Address | 19 CHATRA MUSALMAN PARA BY LANE | Age | 29 Years,1 Months,1 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||