Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01113 | Date 13/09/2018 |
| Token No | SM/18-19/1622 13/09/2018 | Serial | 045 Last Visit: 06/12/2021 |
| Patient Name | Mrs. SAJIMA KHATUN | Contact No | |
| Address | CHATRA KUMAR PARA | Age | 18.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 91/59 mmHg | Weight | 51 KG |
| Pulse Rate | 82 / min | Height | cm BMI: inf |
| Diagnosis | |||