Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 02898 | Date 08/01/2019 |
| Token No | SM/19-20/4488 13/06/2019 | Serial | 043 Last Visit: 14/07/2020 |
| Patient Name | Mrs. JARINA KHATUN | Contact No | 8100655097 |
| Address | RABINDRA BHABON ROAD | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||