Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01061 | Date 12/09/2018 |
| Token No | SM/18-19/1538 12/09/2018 | Serial | 004 Last Visit: 12/09/2018 |
| Patient Name | Mr. M P SUBEDAN | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 75.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 136/88 mmHg | Weight | 70 KG |
| Pulse Rate | 94 / min | Height | cm BMI: inf |
| Diagnosis | |||