Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08640 | Date 17/08/2020 |
| Token No | SM/19-20/24874 17/08/2020 | Serial | 036 Last Visit: 24/08/2020 |
| Patient Name | Mr. MINA BIBI | Contact No | 9674998986 |
| Address | 17/1 CHATRA MUSALMAN PARA BYE LANE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||