Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07732 | Date 07/03/2020 |
| Token No | SM/21-22/7068 23/11/2021 | Serial | 034 Last Visit: 15/09/2025 |
| Patient Name | Miss FIROZA KHATUN | Contact No | 8420739777 |
| Address | 28 MUSALMAN PARA LANE,TIKIYA PARA | Age | 22 Years,0 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||