Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11964 | Date 13/03/2023 |
| Token No | SM/22-23/22781 10/07/2023 | Serial | 082 Last Visit: 18/08/2023 |
| Patient Name | Mrs. PARVIN KHATUN | Contact No | 7003792028 |
| Address | 82/78 NISTARINI TEMPLE ROAD SHEORAPHULI | Age | 30 Years,10 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||