Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06195 | Date 21/08/2019 |
| Token No | SM/19-20/8928 21/08/2019 | Serial | 090 Last Visit: 21/08/2019 |
| Patient Name | Mrs. SAKINA KHATUN | Contact No | 9593649765 |
| Address | RAMCHANDRAPUR , PAHALAMPUR, DIARA | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||