Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10773 | Date 11/03/2022 |
| Token No | SM/21-22/10656 11/03/2022 | Serial | 009 Last Visit: 17/05/2022 |
| Patient Name | Mrs. SONIYA KHATUN | Contact No | 6290441501 |
| Address | 41 MUSALMAN PARA ROAD | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 18.385521 |
| Diagnosis | |||