Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 03897 | Date 27/02/2019 |
| Token No | SM/18-19/9554 27/02/2019 | Serial | 043 Last Visit: 27/02/2019 |
| Patient Name | Mrs. SAHNAJ KHATUN | Contact No | 9546968138 |
| Address | 13, SILBAGAN SERAMPORE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||