Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03997 | Date 05/03/2019 |
| Token No | SM/18-19/9838 05/03/2019 | Serial | 039 Last Visit: 16/03/2020 |
| Patient Name | Mrs. RIJIYA BIBI | Contact No | 8481875348 |
| Address | CHATRA MUSALMAN PARA | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||