Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11082 | Date 01/06/2022 |
| Token No | SM/22-23/13112 01/06/2022 | Serial | 018 Last Visit: 01/06/2022 |
| Patient Name | Mrs. MORIYAM KHATUN | Contact No | 7477836225 |
| Address | 18 CHATRA MUSALMAN PARA | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 17.896892 |
| Diagnosis | |||