Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05350 | Date 06/06/2019 |
| Token No | SM/19-20/4117 06/06/2019 | Serial | 093 Last Visit: 20/08/2022 |
| Patient Name | Miss TABASUM KHATUN | Contact No | 8017676928 |
| Address | SHEORAPHULI | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||