Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10045 | Date 04/09/2021 |
| Token No | SM/21-22/4755 04/09/2021 | Serial | 024 Last Visit: 04/09/2021 |
| Patient Name | Mrs. RUKSANA KHATUN | Contact No | 6290297393 |
| Address | 13 CHATRA MUSALMAN PARA | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||