Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10119 | Date 23/09/2021 |
| Token No | SM/21-22/5379 23/09/2021 | Serial | 024 Last Visit: 23/09/2021 |
| Patient Name | Mrs. ZARINA KHATUN | Contact No | 6291094190 |
| Address | 46/B ,MUSALMAN PARA | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||