Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10506 | Date 05/01/2022 |
| Token No | SM/21-22/8540 05/01/2022 | Serial | 052 Last Visit: 17/02/2024 |
| Patient Name | Miss HALIMA KHATUN | Contact No | |
| Address | MUSALMAN PARA | Age | 22 Years,1 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||