Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08126 | Date 22/04/2020 |
| Token No | SM/19-20/21478 23/04/2020 | Serial | 025 Last Visit: 27/04/2020 |
| Patient Name | Mrs. NARGIS KHATUN | Contact No | 7890181128 |
| Address | 4 GANDHI NAGAR RISHRA | Age | 23 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 43.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||