Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00285 | Date 09/08/2018 |
| Token No | SM/21-22/2445 22/06/2021 | Serial | 034 Last Visit: 12/05/2022 |
| Patient Name | Mrs. JHARNA BIBI | Contact No | 8479042219 |
| Address | CHATRA MUSLMAN PARA | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||