Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02055 | Date 20/11/2018 |
| Token No | SM/21-22/7332 30/11/2021 | Serial | 012 Last Visit: 06/12/2025 |
| Patient Name | Mrs. SEHANAJ AMINUR SK | Contact No | 7890076607 |
| Address | 23/1A CHATRA MUSALMAN PARA BY LANE | Age | 47 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||