Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01079 | Date 12/09/2018 |
| Token No | SM/18-19/9015 19/02/2019 | Serial | 045 Last Visit: 06/03/2020 |
| Patient Name | Mrs. AKIMON BIBI | Contact No | 9831994489 |
| Address | CHATRA MUSALMANPARA/LANE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||