Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04727 | Date 16/04/2019 |
| Token No | SM/20-21/26505 10/10/2020 | Serial | 022 Last Visit: 10/10/2020 |
| Patient Name | Miss RUKSANA KHATUN | Contact No | 8017676928 |
| Address | KALAHATA , SHEWRAPHULI | Age | 28 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||