Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04318 | Date 20/03/2019 |
| Token No | SM/18-19/10940 20/03/2019 | Serial | 045 Last Visit: 20/03/2019 |
| Patient Name | Mrs. SAIRA BANU | Contact No | 8481047137 |
| Address | CHATRA MUSALMAN PARA SEARMPORE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||