Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12643 | Date 16/10/2023 |
| Token No | SM/22-23/25431 16/10/2023 | Serial | 078 Last Visit: 07/08/2025 |
| Patient Name | Mrs. NASRIN BEGUM | Contact No | 6291988261 |
| Address | 15/16 RBS ROAD | Age | 41 Years,1 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.6 KG |
| Pulse Rate | / min | Height | 154.4 cm BMI: 23.322774 |
| Diagnosis | |||