Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08638 | Date 17/08/2020 |
| Token No | SM/19-20/24857 17/08/2020 | Serial | 019 Last Visit: 17/08/2020 |
| Patient Name | Mrs. KHUSMINA KHATUN | Contact No | 6289362414 |
| Address | 3 CHATRA MUSALMAN PARA | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||