Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 04342 | Date 23/03/2019 |
| Token No | SM/18-19/11027 23/03/2019 | Serial | 031 Last Visit: 17/08/2020 |
| Patient Name | Mrs. TABASUM KHATUN | Contact No | 9681692562 |
| Address | 13 BAZAR BYE LANE(TIN BAZAR) | Age | 50 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||