Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00588 | Date 20/08/2018 |
| Token No | SM/19-20/25136 25/08/2020 | Serial | 016 Last Visit: 25/08/2020 |
| Patient Name | Mrs. NABINA BIBI | Contact No | |
| Address | 1, CHATRA MUSALMANPARA/LANE | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||