Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00406 | Date 13/08/2018 |
| Token No | SM/18-19/1784 18/09/2018 | Serial | 050 Last Visit: 18/09/2018 |
| Patient Name | Mrs. JULEHA BEGUM | Contact No | 9062356424 |
| Address | MIRPUR, RISHRA | Age | 40.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||