Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12185 | Date 27/06/2023 |
| Token No | SM/22-23/22462 27/06/2023 | Serial | 025 Last Visit: 27/06/2023 |
| Patient Name | Mrs. MUKSAN KHATUN | Contact No | |
| Address | 5 MUSALMAN PARA BYE LANE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||