Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01932 | Date 12/11/2018 |
| Token No | SM/25-26/5336 27/08/2025 | Serial | 058 Last Visit: 27/08/2025 |
| Patient Name | Miss ROSNI ISLAM | Contact No | 7044682962 |
| Address | 39 CHATRA MUSALMAN PARA | Age | 17 Years,7 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||