Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10424 | Date 16/12/2021 |
| Token No | SM/21-22/7811 16/12/2021 | Serial | 004 Last Visit: 09/02/2022 |
| Patient Name | Mrs. ALFA KHATUN | Contact No | 7890649928 |
| Address | 43 CHATRA MUSALMAN PARA ROAD | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44.5 KG |
| Pulse Rate | / min | Height | 152.5 cm BMI: 19.134641 |
| Diagnosis | |||