Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01073 | Date 12/09/2018 |
| Token No | SM/18-19/1558 12/09/2018 | Serial | 024 Last Visit: 12/09/2018 |
| Patient Name | Mrs. HUSEN NARA | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 42.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 124/85 mmHg | Weight | 58 KG |
| Pulse Rate | 84 / min | Height | cm BMI: inf |
| Diagnosis | |||