Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01221 | Date 19/09/2018 |
| Token No | SM/18-19/1824 19/09/2018 | Serial | 036 Last Visit: 19/09/2018 |
| Patient Name | Mrs. NILUFA YASMIN | Contact No | 801756445 |
| Address | CHATRA MUSALMAN PARA | Age | 12 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||