Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08073 | Date 13/04/2020 |
| Token No | SM/19-20/21072 13/04/2020 | Serial | 040 Last Visit: 13/04/2020 |
| Patient Name | Mrs. SABERA BAGAM | Contact No | 9123327025 |
| Address | 10/7 MASJID LANE BAG KHAL,RISHRA | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||