Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01381 | Date 27/09/2018 |
| Token No | SM/18-19/2149 27/09/2018 | Serial | 030 Last Visit: 27/09/2018 |
| Patient Name | Mr. ARABINDO KHAN | Contact No | 9007653926 |
| Address | CHATRA BAGHER BAGAN | Age | 30 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||