Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00830 | Date 29/08/2018 |
| Token No | SM/18-19/1717 15/09/2018 | Serial | 037 Last Visit: 15/09/2018 |
| Patient Name | Mrs. MAIRUM BIBI | Contact No | 8981433083 |
| Address | 3/B CHATRA MUSALMAN PARA | Age | 70.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||