Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01484 | Date 03/10/2018 |
| Token No | SM/18-19/2397 03/10/2018 | Serial | 052 Last Visit: 03/10/2018 |
| Patient Name | Mrs. MUNTAHA JABIN | Contact No | 8582880402 |
| Address | CHATRA MUSALMAN PARA | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 111/66 mmHg | Weight | 60 KG |
| Pulse Rate | 66 / min | Height | cm BMI: inf |
| Diagnosis | |||