Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00917 | Date 05/09/2018 |
| Token No | SM/18-19/1230 05/09/2018 | Serial | 006 Last Visit: 05/09/2018 |
| Patient Name | Mrs. MOJUDA BEGAM | Contact No | 9051672355 |
| Address | 18 CHATRA MUSALMAN PARA BY LANE | Age | 55.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 166/91 mmHg | Weight | 63 KG |
| Pulse Rate | 84 / min | Height | cm BMI: inf |
| Diagnosis | |||