Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01538 | Date 05/10/2018 |
| Token No | SM/18-19/2530 05/10/2018 | Serial | 051 Last Visit: 05/10/2018 |
| Patient Name | Mr. SK MONOER | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 80/56 mmHg | Weight | 51 KG |
| Pulse Rate | 73 / min | Height | cm BMI: inf |
| Diagnosis | |||