Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01044 | Date 11/09/2018 |
| Token No | SM/21-22/9286 24/01/2022 | Serial | 034 Last Visit: 24/01/2022 |
| Patient Name | Mrs. SABNAM KHATUN | Contact No | 8336826104 |
| Address | NOGA MORE | Age | 18.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 155/89 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||