Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00831 | Date 29/08/2018 |
| Token No | SM/18-19/1044 29/08/2018 | Serial | 050 Last Visit: 29/08/2018 |
| Patient Name | Mrs. FARIDA BIBI | Contact No | 8981433083 |
| Address | 3/B CHATRA MUSALMAN PARA | Age | 33.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 154/94 mmHg | Weight | 74 KG |
| Pulse Rate | 92 / min | Height | cm BMI: inf |
| Diagnosis | |||