Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 17289 | Date 23/09/2026 |
| Token No | SM/25-26/15916 28/10/2026 at 11:17 | Serial | 032 Last Visit: 25/09/2026 |
| Patient Name | Mrs. GULABSA KLHATUN | Contact No | 8240289021 |
| Address | 21 MUSALMAN PARA LANE | Age | 22 Years,9 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 25.103878 |
| Diagnosis | |||