Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03301 | Date 02/02/2019 |
| Token No | SM/19-20/18074 14/02/2020 | Serial | 031 Last Visit: 13/03/2020 |
| Patient Name | Mrs. SAHIN PARVIN | Contact No | 9836542431 |
| Address | 33/A CHATRA MUSALMAN PARA | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||