Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01201 | Date 18/09/2018 |
| Token No | SM/18-19/1781 18/09/2018 | Serial | 047 Last Visit: 18/09/2018 |
| Patient Name | Mr. SK RABUL | Contact No | 9903525847 |
| Address | CHATRA MUSALMAN PARA | Age | 72 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 103/53 mmHg | Weight | 47 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||