Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01044 | Date 11/09/2018 |
| Token No | SM/18-19/1503 11/09/2018 | Serial | 033 Last Visit: 24/01/2022 |
| Patient Name | Mrs. SABNAM KHATUN | Contact No | 8336826104 |
| Address | NOGA MORE | Age | 18.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 87/41 mmHg | Weight | 41 KG |
| Pulse Rate | 76 / min | Height | cm BMI: inf |
| Diagnosis | |||