Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00907 | Date 04/09/2018 |
| Token No | SM/18-19/1207 04/09/2018 | Serial | 043 Last Visit: 04/09/2018 |
| Patient Name | Mrs. NUR ISHA BIBI | Contact No | |
| Address | 3/A CHATRA MUSALMAN PARA | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 112/77 mmHg | Weight | 50 KG |
| Pulse Rate | 103 / min | Height | cm BMI: inf |
| Diagnosis | |||