Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04621 | Date 08/04/2019 |
| Token No | SM/19-20/9190 26/08/2019 | Serial | 106 Last Visit: 16/10/2019 |
| Patient Name | Mrs. MARIYA BIBI | Contact No | 7278161258 |
| Address | 88 ,MALLICK PARA,MIYA JON DORJI LANE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||