Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01009 | Date 10/09/2018 |
| Token No | SM/18-19/1420 10/09/2018 | Serial | 008 Last Visit: 18/01/2019 |
| Patient Name | Mr. SK RASHID | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 60.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 86/42 mmHg | Weight | 39 KG |
| Pulse Rate | 61 / min | Height | cm BMI: inf |
| Diagnosis | |||