Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03423 | Date 07/02/2019 |
| Token No | SM/18-19/8202 07/02/2019 | Serial | 029 Last Visit: 07/02/2019 |
| Patient Name | Mrs. SAMINA BEGAM | Contact No | 8017365789 |
| Address | 41 CHATRA ,MUSALMAN PARA | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/96 mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||