Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13089 | Date 06/01/2024 |
| Token No | SM/22-23/27898 06/01/2024 | Serial | 013 Last Visit: 07/02/2025 |
| Patient Name | Mrs. SEFALI RAY | Contact No | 7890451484 |
| Address | 20/NO MUSALMAN PARA ROAD | Age | 62 Years,4 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52.7 KG |
| Pulse Rate | / min | Height | 153.7 cm BMI: 22.308115 |
| Diagnosis | |||