Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07306 | Date 09/01/2020 |
| Token No | SM/19-20/16420 09/01/2020 | Serial | 021 Last Visit: 17/03/2020 |
| Patient Name | Mrs. RINA KHATUN | Contact No | 9330631789 |
| Address | 5/A CHATRA MUSALMAN PARA BYE LANE | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||