Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00299 | Date 10/08/2018 |
| Token No | SM/18-19/3995 20/11/2018 | Serial | 073 Last Visit: 25/09/2019 |
| Patient Name | Mrs. SAHANAJ BANU | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 40.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||