Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01076 | Date 12/09/2018 |
| Token No | SM/19-20/24910 17/08/2020 | Serial | 072 Last Visit: 17/08/2020 |
| Patient Name | Mrs. NURBANU BIBI | Contact No | 7890152684 |
| Address | CHATRA MUSALMANPARA | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||