Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00047 | Date 02/08/2018 |
| Token No | SM/18-19/47 02/08/2018 | Serial | 013 Last Visit: 19/05/2022 |
| Patient Name | Mrs. SAKILA BEGAM | Contact No | 6291110831 |
| Address | CHATRA MUSALMAN PARA | Age | 30.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 107/72 mmHg | Weight | 55 KG |
| Pulse Rate | 68 / min | Height | cm BMI: inf |
| Diagnosis | |||