Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07629 | Date 25/02/2020 |
| Token No | SM/19-20/18635 25/02/2020 | Serial | 035 Last Visit: 25/02/2020 |
| Patient Name | Mrs. SAHANARA BIBI | Contact No | 9875427846 |
| Address | 20 KANAI DEWANTALA, | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||