Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06574 | Date 30/09/2019 |
| Token No | SM/19-20/11283 30/09/2019 | Serial | 008 Last Visit: 12/10/2019 |
| Patient Name | Mrs. ROSAN KHATUN | Contact No | 8582855731 |
| Address | 7PARSHI LANE, | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||