Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00985 | Date 07/09/2018 |
| Token No | SM/18-19/1362 07/09/2018 | Serial | 034 Last Visit: 07/09/2018 |
| Patient Name | Mrs. RAJINA BIBI | Contact No | |
| Address | 7, ARBINDA SARANI | Age | 40.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 97/77 mmHg | Weight | 54 KG |
| Pulse Rate | 76 / min | Height | cm BMI: inf |
| Diagnosis | |||