Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15589 | Date 18/06/2025 |
| Token No | SM/25-26/2707 18/06/2025 | Serial | 034 Last Visit: 18/06/2025 |
| Patient Name | Mrs. TASLIMA KHATUN | Contact No | 9330706579 |
| Address | CHATRA MUSALMAN PARA BYE LANE | Age | 21 Years,3 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||