Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02948 | Date 10/01/2019 |
| Token No | SM/19-20/840 12/04/2019 | Serial | 077 Last Visit: 04/12/2025 |
| Patient Name | Mrs. PAPIYA CHOWDHURY | Contact No | 9674013820 |
| Address | 20 CHATRA CHOWDHURY PARA BY LANE | Age | 36 Years,7 Months,3 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||