Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12945 | Date 14/12/2023 |
| Token No | SM/22-23/27213 14/12/2023 | Serial | 049 Last Visit: 14/12/2023 |
| Patient Name | Mrs. JAHANA BEGUM | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 35 Years,11 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||