Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08261 | Date 15/05/2020 |
| Token No | SM/19-20/22283 15/05/2020 | Serial | 050 Last Visit: 15/05/2020 |
| Patient Name | Mrs. RAJIYA BEGUM | Contact No | 9674321540 |
| Address | CHATRA MUSALMAN PARA | Age | 45 Y Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||