Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01302 | Date 24/09/2018 |
| Token No | SM/18-19/1987 24/09/2018 | Serial | 046 Last Visit: 24/09/2018 |
| Patient Name | Mr. MD IUNISE | Contact No | |
| Address | CHATRA MUSALMAN PARA BYE LANE | Age | 28 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 48.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||