Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15648 | Date 03/07/2025 |
| Token No | SM/25-26/3173 03/07/2025 | Serial | 010 Last Visit: 04/08/2025 |
| Patient Name | Mrs. RESHMA KHATOON | Contact No | 9332591802 |
| Address | 50/A CHATRA MUSALMAN PARA ROAD | Age | 25 Years,7 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39.4 KG |
| Pulse Rate | / min | Height | 149 cm BMI: 17.746948 |
| Diagnosis | |||