Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10776 | Date 11/03/2022 |
| Token No | SM/21-22/10665 11/03/2022 | Serial | 018 Last Visit: 11/03/2022 |
| Patient Name | Mrs. RINA BARIK | Contact No | 7439540522 |
| Address | 64,BAISNAB PARA SECOND LANE | Age | 24 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55.2 KG |
| Pulse Rate | / min | Height | 147.4 cm BMI: 25.406457 |
| Diagnosis | |||