Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00579 | Date 20/08/2018 |
| Token No | SM/18-19/679 20/08/2018 | Serial | 023 Last Visit: 20/08/2018 |
| Patient Name | Mrs. KASIDA BIBI | Contact No | 8420231613 |
| Address | 7, CHATRA ARBINDO SARANI | Age | 46.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||