Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08178 | Date 30/04/2020 |
| Token No | SM/19-20/21767 30/04/2020 | Serial | 051 Last Visit: 30/04/2020 |
| Patient Name | Mrs. SARBORI KHATUN | Contact No | 8482031975 |
| Address | CHATRA MUSALMAN PARA | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||