Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01826 | Date 01/11/2018 |
| Token No | SM/25-26/2151 05/06/2025 | Serial | 012 Last Visit: 05/06/2025 |
| Patient Name | Miss BARSA KHATUN | Contact No | 8697098429 |
| Address | MUSALMAN PARA CHATRA | Age | 20 Years,0 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||