Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07959 | Date 30/03/2020 |
| Token No | SM/25-26/7876 12/11/2025 | Serial | 026 Last Visit: 26/11/2025 |
| Patient Name | Mrs. NIGAR SULTANA | Contact No | 9883048139 |
| Address | 31/A CHATRA MUSALMAN PARA SEURAFULI | Age | 52 Years,10 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 126/80 mmHg | Weight | 73.5 KG |
| Pulse Rate | / min | Height | 161 cm BMI: 28.355388 |
| Diagnosis | |||