Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07530 | Date 13/02/2020 |
| Token No | SM/19-20/18011 13/02/2020 | Serial | 030 Last Visit: 13/02/2020 |
| Patient Name | Mrs. RAMA SHAW | Contact No | 6289202025 |
| Address | CHATRA MUSALMAN PARA BYE LANE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||