Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01099 | Date 13/09/2018 |
| Token No | SM/18-19/1972 24/09/2018 | Serial | 031 Last Visit: 24/09/2018 |
| Patient Name | Mrs. SAYRA BIBI | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 52.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||