Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05827 | Date 18/07/2019 |
| Token No | SM/19-20/6794 18/07/2019 | Serial | 069 Last Visit: 09/01/2020 |
| Patient Name | Mrs. MANJURA BIBI | Contact No | 6290907355 |
| Address | 5/A MUSALMAN PARA BEY LANE,CHATRA | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||