Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02326 | Date 04/12/2018 |
| Token No | SM/18-19/4636 04/12/2018 | Serial | 022 Last Visit: 04/12/2018 |
| Patient Name | Mrs. MAHJEBEN | Contact No | 9062376411 |
| Address | 25 CHATRA MUSALMAN PARA LANE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||