Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 01280 | Date 24/09/2018 |
| Token No | SM/18-19/2295 01/10/2018 | Serial | 015 Last Visit: 01/10/2018 |
| Patient Name | Mrs. MINA KHATUN | Contact No | 9062865553 |
| Address | SHIL BAGAN | Age | 21 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||