Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16004 | Date 06/09/2025 |
| Token No | SM/25-26/5768 06/09/2025 | Serial | 029 Last Visit: 06/09/2025 |
| Patient Name | Miss MARJINA KHATUN | Contact No | 9875536512 |
| Address | 13 MUSALMAN PARA BYE LANE | Age | 24 Years,6 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||