Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07738 | Date 11/03/2020 |
| Token No | SM/19-20/19341 11/03/2020 | Serial | 004 Last Visit: 11/03/2020 |
| Patient Name | Mrs. FARZANA BEGAM | Contact No | 8910101745 |
| Address | 7, P.C.D BAZAR ROAD , RISHRA | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||