Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06454 | Date 18/09/2019 |
| Token No | SM/19-20/14742 05/12/2019 | Serial | 070 Last Visit: 23/06/2021 |
| Patient Name | Mrs. NAJMA BIBI | Contact No | |
| Address | MIYA JON DORJI LANE,CHILEKHANA ROAD,MALLICK PARA | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||