Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00846 | Date 30/08/2018 |
| Token No | SM/18-19/1081 30/08/2018 | Serial | 035 Last Visit: 30/08/2018 |
| Patient Name | Mrs. RANU BIBI | Contact No | |
| Address | 17/3 CHATRA MUSALMAN PARA | Age | 55.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 147/73 mmHg | Weight | 66 KG |
| Pulse Rate | 82 / min | Height | cm BMI: inf |
| Diagnosis | |||