Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10366 | Date 01/12/2021 |
| Token No | SM/22-23/22736 10/07/2023 | Serial | 037 Last Visit: 05/03/2025 |
| Patient Name | Mrs. ROZINA KHATUN | Contact No | 9007465222 |
| Address | 20,NO, KUMOR PARA LANE CHATRA SERAMPORE | Age | 20 Years,3 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||