Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00908 | Date 04/09/2018 |
| Token No | SM/21-22/6856 16/11/2021 | Serial | 024 Last Visit: 03/07/2023 |
| Patient Name | Mrs. HAFIZA BEGAM | Contact No | |
| Address | 3/B CHATRA MUSALMAN PARA | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||