Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13229 | Date 09/02/2024 |
| Token No | SM/22-23/28971 09/02/2024 | Serial | 009 Last Visit: 29/04/2025 |
| Patient Name | Mrs. RESHMA KHATUN | Contact No | 9749497282 |
| Address | CHATRA MUSALMAN PARA | Age | 31 Years,3 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||