Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10177 | Date 04/10/2021 |
| Token No | SM/21-22/5746 04/10/2021 | Serial | 067 Last Visit: 04/10/2021 |
| Patient Name | Mrs. PERVIN KHATUN | Contact No | 6289164763 |
| Address | RASULPUR | Age | 18 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||