Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00906 | Date 04/09/2018 |
| Token No | SM/18-19/1204 04/09/2018 | Serial | 040 Last Visit: 04/09/2018 |
| Patient Name | Mrs. RITA BIBI | Contact No | 7449705119 |
| Address | SEORAPHULI,MUSALMAN PARA | Age | 31.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/79 mmHg | Weight | 50 KG |
| Pulse Rate | 108 / min | Height | cm BMI: inf |
| Diagnosis | |||