Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15259 | Date 05/05/2025 |
| Token No | SM/25-26/1019 05/05/2025 | Serial | 003 Last Visit: 12/09/2025 |
| Patient Name | Mrs. AFRIN JAHAN | Contact No | 7439054924 |
| Address | 1 NO KANAI DIYANTALA LANE,SHEROAPHULLY | Age | 26 Years,2 Months,28 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 61.8 KG |
| Pulse Rate | / min | Height | 151.5 cm BMI: 26.925465 |
| Diagnosis | |||