Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01575 | Date 09/10/2018 |
| Token No | SM/18-19/2635 09/10/2018 | Serial | 024 Last Visit: 09/10/2018 |
| Patient Name | Mrs. MUNI KHATUN | Contact No | |
| Address | CHATRA KANAI DEWAN TALA | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||