Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08817 | Date 05/10/2020 |
| Token No | SM/20-21/26295 05/10/2020 | Serial | 031 Last Visit: 05/10/2020 |
| Patient Name | Mrs. RAKHIA BIBI | Contact No | |
| Address | 88 MIYAJAN DARJEE LANE,MALLICKPARA | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||