Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 01651 | Date 12/10/2018 |
| Token No | SM/18-19/9364 23/02/2019 | Serial | 050 Last Visit: 09/03/2021 |
| Patient Name | Mrs. SAKILA BIBI | Contact No | 9331441867 |
| Address | CHATRA ARABINDA SARANI | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||