Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11907 | Date 31/01/2023 |
| Token No | SM/22-23/20178 31/01/2023 | Serial | 026 Last Visit: 31/01/2023 |
| Patient Name | Miss RESHMA KHATUN | Contact No | 6291929844 |
| Address | 56 N.N. ROY STREET | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||