Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07462 | Date 03/02/2020 |
| Token No | SM/19-20/17512 03/02/2020 | Serial | 042 Last Visit: 03/02/2020 |
| Patient Name | Mrs. RABIYA BIBI | Contact No | 7439003808 |
| Address | 41 CHATRA MUSALMA PARA ROAD | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||