Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11789 | Date 21/12/2022 |
| Token No | SM/22-23/20614 13/03/2023 | Serial | 031 Last Visit: 10/07/2023 |
| Patient Name | Mrs. RUKSHANA KHATOON | Contact No | 8910070993 |
| Address | CHATRA MUSALMAN PARA | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49.5 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 22.147403 |
| Diagnosis | |||