Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15918 | Date 20/08/2025 |
| Token No | SM/25-26/5228 25/08/2025 | Serial | 043 Last Visit: 09/12/2025 |
| Patient Name | Mrs. RUKSANA KHATUN | Contact No | 7449733138 |
| Address | 7/B ARABINDA SARANI | Age | 21 Years,11 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.2 KG |
| Pulse Rate | / min | Height | 156.4 cm BMI: 22.566571 |
| Diagnosis | |||