Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10823 | Date 21/03/2022 |
| Token No | SM/22-23/29894 05/03/2024 | Serial | 006 Last Visit: 05/03/2024 |
| Patient Name | Miss ROMA KHATUN | Contact No | 6289169811 |
| Address | 5/1 CHATRA MUSALMAN PARA | Age | 14 Years,8 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||