Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04629 | Date 08/04/2019 |
| Token No | SM/19-20/528 08/04/2019 | Serial | 092 Last Visit: 09/04/2019 |
| Patient Name | Mrs. NAJIMA BIBI | Contact No | 6289104085 |
| Address | MALLICK PARA,CHILEKHANA ROAD | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||