Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07347 | Date 16/01/2020 |
| Token No | SM/19-20/20025 20/03/2020 | Serial | 062 Last Visit: 03/10/2020 |
| Patient Name | Mrs. KASMIRA BIBI | Contact No | 9088523975 |
| Address | 35 CHATRA MUSALMAN PARA | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||