Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01249 | Date 20/09/2018 |
| Token No | SM/18-19/1882 20/09/2018 | Serial | 033 Last Visit: 20/09/2018 |
| Patient Name | Mr. SAUKAT ALI | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 125/80 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||