Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15643 | Date 02/07/2025 |
| Token No | SM/25-26/3141 02/07/2025 | Serial | 052 Last Visit: 30/07/2025 |
| Patient Name | Miss MARIYA KHATUN | Contact No | 8100442305 |
| Address | 5/A MUSALMAN PARA BYE LANE | Age | 13 Years,1 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||