Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08100 | Date 17/04/2020 |
| Token No | SM/19-20/24118 14/07/2020 | Serial | 021 Last Visit: 06/11/2024 |
| Patient Name | Mrs. FARIDA BIBI | Contact No | 6290993589 |
| Address | SHEORAPHULI,MUSALMAN PARA | Age | 17 Years,10 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||