Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01518 | Date 29/04/2020 |
| Token No | SM/19-20/3982 29/04/2020 | Serial | 016 |
| Patient Name | Mrs. PUTUL ROY CHOWDHUREY | Contact No | |
| Address | SANI PARA BY LANE | Age | 39 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||