Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00963 | Date 06/09/2018 |
| Token No | SM/18-19/1323 06/09/2018 | Serial | 048 Last Visit: 06/09/2018 |
| Patient Name | Mrs. MONI KHATUN | Contact No | |
| Address | 32 CHATRA MUSALMAN PARA | Age | 19.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 104/64 mmHg | Weight | 55 KG |
| Pulse Rate | 75 / min | Height | cm BMI: inf |
| Diagnosis | |||