Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15861 | Date 07/08/2025 |
| Token No | SM/25-26/4630 07/08/2025 | Serial | 034 Last Visit: 13/08/2025 |
| Patient Name | Mrs. SAJIYUA KHATOON | Contact No | 6289843396 |
| Address | 37/B MUSALMAN PARA ROAD | Age | 22 Years,7 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57.8 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 25.349765 |
| Diagnosis | |||