Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10845 | Date 29/03/2022 |
| Token No | SM/21-22/11161 29/03/2022 | Serial | 020 Last Visit: 17/05/2022 |
| Patient Name | Mrs. SABANA KHATUN | Contact No | 7439189118 |
| Address | 10 KANAI DEOAN TALA | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.5 KG |
| Pulse Rate | / min | Height | 148.6 cm BMI: 20.605055 |
| Diagnosis | |||