Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07123 | Date 11/12/2019 |
| Token No | SM/19-20/15090 12/12/2019 | Serial | 010 Last Visit: 12/12/2019 |
| Patient Name | Mrs. FARHINA KHATUN | Contact No | 9875598360 |
| Address | 5/B GOPINATH SAHA STREET | Age | 18 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||