Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12641 | Date 16/10/2023 |
| Token No | SM/22-23/26248 16/11/2023 | Serial | 012 Last Visit: 29/02/2024 |
| Patient Name | Mrs. SARIFA KHATUN | Contact No | 9674001098 |
| Address | 20NO KUMARPARA CHATRA | Age | 17 Years,1 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39.8 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 16.566077 |
| Diagnosis | |||