Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05716 | Date 10/07/2019 |
| Token No | SM/19-20/6337 13/07/2019 | Serial | 001 Last Visit: 28/11/2022 |
| Patient Name | Mrs. ANOWARA BIBI | Contact No | 600019846 |
| Address | CHATRA MUSALMAN PARA | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||