Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01871 | Date 02/11/2018 |
| Token No | SM/18-19/3386 02/11/2018 | Serial | 070 Last Visit: 05/11/2018 |
| Patient Name | Mrs. HAMIDA BIBI | Contact No | 7686829852 |
| Address | CHATRA MUSALMAN PARA BY LANE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||