Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11637 | Date 31/10/2022 |
| Token No | SM/22-23/17562 31/10/2022 | Serial | 001 Last Visit: 29/12/2022 |
| Patient Name | Mrs. FATEMA KHATUN | Contact No | 7439329875 |
| Address | 3/B MUSALMAN PARA BYE LANE | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 149.3 cm BMI: 25.122821 |
| Diagnosis | |||