Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03418 | Date 06/02/2019 |
| Token No | SM/21-22/7504 06/12/2021 | Serial | 023 Last Visit: 06/12/2021 |
| Patient Name | Mrs. PORIJAN BIBI | Contact No | 9903793963 |
| Address | 63 N N ROY STREET | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||