Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00328 | Date 10/08/2018 |
| Token No | SM/18-19/354 10/08/2018 | Serial | 042 Last Visit: 10/08/2018 |
| Patient Name | Mr. MD. AFREEN | Contact No | |
| Address | SHEWRAPHULI | Age | 45.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 145/65 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||