Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01223 | Date 19/09/2018 |
| Token No | SM/25-26/3192 03/07/2025 | Serial | 029 Last Visit: 03/07/2025 |
| Patient Name | Mrs. SULTANA PARVEEN | Contact No | 8910245992 |
| Address | CHATRA MUSALMAN PARA | Age | 17 Years,9 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.2 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 27.027027 |
| Diagnosis | |||