Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00149 | Date 06/08/2018 |
| Token No | SM/22-23/18545 03/12/2022 | Serial | 028 Last Visit: 09/05/2024 |
| Patient Name | Mrs. SAJINA KHATOON | Contact No | 6290116545 |
| Address | CHATRA MUSLMAN PARA | Age | 22 Years,4 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||