Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01284 | Date 24/09/2018 |
| Token No | SM/18-19/1958 24/09/2018 | Serial | 017 Last Visit: 24/09/2018 |
| Patient Name | Mrs. JOSNARA BIBI | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||