Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07989 | Date 01/04/2020 |
| Token No | SM/19-20/20606 01/04/2020 | Serial | 028 Last Visit: 01/04/2020 |
| Patient Name | Mrs. FIROJA KHATUN | Contact No | 9038705392 |
| Address | 89/C MALLICKPARA LANE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||