Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07481 | Date 05/02/2020 |
| Token No | SM/19-20/17661 05/02/2020 | Serial | 037 Last Visit: 05/02/2020 |
| Patient Name | Miss SAFIYA KHATUN | Contact No | 7044718068 |
| Address | 20 CHATRA KUMER PARA | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||