Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00978 | Date 07/09/2018 |
| Token No | SM/18-19/1349 07/09/2018 | Serial | 021 Last Visit: 07/09/2018 |
| Patient Name | Mrs. ROUSONA BEGAM | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 60.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 123/60 mmHg | Weight | 42 KG |
| Pulse Rate | 86 / min | Height | cm BMI: inf |
| Diagnosis | |||