Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02887 | Date 07/01/2019 |
| Token No | SM/18-19/6444 07/01/2019 | Serial | 098 Last Visit: 07/01/2019 |
| Patient Name | Mrs. RIMA BIBI | Contact No | 9088055787 |
| Address | 16 K.M SAHA STREET | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||