Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07726 | Date 06/03/2020 |
| Token No | SM/20-21/27047 02/11/2020 | Serial | 042 Last Visit: 02/11/2020 |
| Patient Name | Mrs. ASMA KHATUN | Contact No | 8481828870 |
| Address | 61/A,R K ROAD ,RISHRA | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||