Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00821 | Date 29/08/2018 |
| Token No | SM/18-19/1031 29/08/2018 | Serial | 037 Last Visit: 29/08/2018 |
| Patient Name | Mrs. RUP BANU BIBI | Contact No | |
| Address | 5/A CHATRA MUSALMAN PARA | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 156/113 mmHg | Weight | 65 KG |
| Pulse Rate | 103 / min | Height | cm BMI: inf |
| Diagnosis | |||