Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00909 | Date 04/09/2018 |
| Token No | SM/18-19/1213 04/09/2018 | Serial | 049 Last Visit: 04/09/2018 |
| Patient Name | Mr. SK SAMSUBDIN | Contact No | |
| Address | 3/A CHATRA MUSALMAN PARA | Age | 36.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 31/82 mmHg | Weight | 66 KG |
| Pulse Rate | 87 / min | Height | cm BMI: inf |
| Diagnosis | |||