Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03350 | Date 04/02/2019 |
| Token No | SM/18-19/7956 04/02/2019 | Serial | 052 Last Visit: 04/02/2019 |
| Patient Name | Miss REHANA KHATUN | Contact No | 9874769334 |
| Address | CHATRA, GODER BAGAN BY LANE,BAIDYABATI(M) | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||