Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01917 | Date 05/11/2018 |
| Token No | SM/18-19/3513 05/11/2018 | Serial | 073 Last Visit: 14/11/2018 |
| Patient Name | Mrs. LAILE BIBI | Contact No | 8285863685 |
| Address | SEORAPHULY,MUSALMAN PARA | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||