Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04432 | Date 27/03/2019 |
| Token No | SM/18-19/11394 27/03/2019 | Serial | 098 Last Visit: 27/03/2019 |
| Patient Name | Mrs. SABINA BIBI | Contact No | 7044291403 |
| Address | CHATRA MUSALMAN PARA SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||