Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00322 | Date 10/08/2018 |
| Token No | SM/18-19/348 10/08/2018 | Serial | 036 Last Visit: 10/08/2018 |
| Patient Name | Mr. MD. SARFROJ | Contact No | |
| Address | SHEWRAPHULI | Age | 30.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 145/75 mmHg | Weight | 75 KG |
| Pulse Rate | 97 / min | Height | cm BMI: inf |
| Diagnosis | |||