Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08129 | Date 22/04/2020 |
| Token No | SM/19-20/21437 22/04/2020 | Serial | 020 Last Visit: 27/04/2020 |
| Patient Name | Mrs. SAHANAJ KHATUN | Contact No | 6290893151 |
| Address | 26 PIL KHANA 1ST LANE | Age | 32 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||