Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00847 | Date 30/08/2018 |
| Token No | SM/18-19/1082 30/08/2018 | Serial | 036 Last Visit: 30/08/2018 |
| Patient Name | Mrs. HAMIDA KHATUN | Contact No | 7044948498 |
| Address | CHATRA MUSALMAN PARA | Age | 22.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 105/64 mmHg | Weight | 45 KG |
| Pulse Rate | 78 / min | Height | cm BMI: inf |
| Diagnosis | |||