Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01353 | Date 26/09/2018 |
| Token No | SM/19-20/2473 10/05/2019 | Serial | 070 Last Visit: 10/05/2019 |
| Patient Name | Mrs. RABINA KHATUN | Contact No | |
| Address | CHATRA M.P LANE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 84 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||