Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07347 | Date 16/01/2020 |
| Token No | SM/19-20/16743 16/01/2020 | Serial | 022 Last Visit: 03/10/2020 |
| Patient Name | Mrs. KASMIRA BIBI | Contact No | 9088523975 |
| Address | 35 CHATRA MUSALMAN PARA | Age | 20 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||