Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00405 | Date 13/08/2018 |
| Token No | SM/18-19/447 13/08/2018 | Serial | 038 Last Visit: 11/01/2020 |
| Patient Name | Mrs. JARA KHATUN | Contact No | 9062356424 |
| Address | BHADUA MIRPUR, RISHRA | Age | 10YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||