Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00827 | Date 29/08/2018 |
| Token No | SM/18-19/1039 29/08/2018 | Serial | 045 Last Visit: 29/08/2018 |
| Patient Name | Mrs. LAKHI KHATUN | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 19.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 113/82 mmHg | Weight | 67 KG |
| Pulse Rate | 103 / min | Height | cm BMI: inf |
| Diagnosis | |||