Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01220 | Date 19/09/2018 |
| Token No | SM/20-21/26740 16/10/2020 | Serial | 017 Last Visit: 31/07/2024 |
| Patient Name | Mrs. ANISHA YASMIN | Contact No | 9088360322 |
| Address | CHATRA MUSALMAN PARA BYE LANE | Age | 18 Years,5 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||