Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01313 | Date 24/09/2018 |
| Token No | SM/18-19/2003 24/09/2018 | Serial | 062 Last Visit: 24/09/2018 |
| Patient Name | Mrs. RAHELA BIBI | Contact No | 9007755751 |
| Address | 4/A ARABINDA SARANI | Age | 50 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 139/84 mmHg | Weight | 55 KG |
| Pulse Rate | 103 / min | Height | cm BMI: inf |
| Diagnosis | |||