Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08083 | Date 15/04/2020 |
| Token No | SM/20-21/26086 28/09/2020 | Serial | 021 Last Visit: 28/09/2020 |
| Patient Name | Mrs. CHANDNI BIBI | Contact No | 7439077518 |
| Address | CHATRA MUSALMAN PARA | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||