Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07463 | Date 03/02/2020 |
| Token No | SM/19-20/17528 03/02/2020 | Serial | 058 Last Visit: 03/02/2020 |
| Patient Name | Mrs. JAHANARA BIBI | Contact No | 6295493907 |
| Address | 10/C CHATRA MUSALMAN PARA BYE LANE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||