Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01076 | Date 12/09/2018 |
| Token No | SM/18-19/4107 24/11/2018 | Serial | 037 Last Visit: 17/08/2020 |
| Patient Name | Mrs. NURBANU BIBI | Contact No | 7890152684 |
| Address | CHATRA MUSALMANPARA | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||