Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01811 | Date 31/10/2018 |
| Token No | SM/18-19/3249 31/10/2018 | Serial | 053 Last Visit: 31/10/2018 |
| Patient Name | Mrs. MUSLEMA BIBI | Contact No | |
| Address | 20, CHATRA KUMAR PARA | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 132/84 mmHg | Weight | 37 KG |
| Pulse Rate | 82 / min | Height | cm BMI: inf |
| Diagnosis | |||