Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03427 | Date 07/02/2019 |
| Token No | SM/20-21/30570 10/03/2021 | Serial | 008 Last Visit: 10/03/2021 |
| Patient Name | Mrs. SERIFA BIBI | Contact No | |
| Address | 8 CHATRA KUMER PARA | Age | 80 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||