Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 01056 | Date 11/09/2018 |
| Token No | SM/18-19/1525 11/09/2018 | Serial | 055 Last Visit: 11/09/2018 |
| Patient Name | Mrs. NADRA KHATUN | Contact No | 9163239349 |
| Address | 2, PARSI LANE SILBAGAN | Age | 52.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 107/69 mmHg | Weight | 54 KG |
| Pulse Rate | 103 / min | Height | cm BMI: inf |
| Diagnosis | |||