Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05964 | Date 26/07/2019 |
| Token No | SM/19-20/7358 26/07/2019 | Serial | 027 Last Visit: 29/10/2025 |
| Patient Name | Mrs. MANIRUL NISHA | Contact No | |
| Address | 20/A MUSALMAN PARA TIKIYA PARA | Age | 60 Years,9 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||