Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02948 | Date 10/01/2019 |
| Token No | SM/21-22/9939 16/02/2022 | Serial | 025 Last Visit: 04/12/2025 |
| Patient Name | Mrs. PAPIYA CHOWDHURY | Contact No | 9674013820 |
| Address | 20 CHATRA CHOWDHURY PARA BY LANE | Age | 36 Years,7 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||