Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13114 | Date 13/01/2024 |
| Token No | SM/22-23/30834 30/03/2024 | Serial | 024 Last Visit: 30/03/2024 |
| Patient Name | Miss PAPIYA FUSTI | Contact No | 9007542806 |
| Address | 22A/2 CHATRA BOUBAZAR | Age | 19 Years,5 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||