Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06832 | Date 11/11/2019 |
| Token No | SM/19-20/13027 11/11/2019 | Serial | 069 Last Visit: 11/11/2019 |
| Patient Name | Mrs. SURATAN BIBI | Contact No | 9830752588 |
| Address | CHATRA MUSALMAN PARA | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 190/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||