Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00331 | Date 10/08/2018 |
| Token No | SM/18-19/357 10/08/2018 | Serial | 045 Last Visit: 10/08/2018 |
| Patient Name | Mrs. RAFIDA BEGAM | Contact No | |
| Address | CHATUGANJ, SHEWRAPHULI | Age | 55.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 147/88 mmHg | Weight | 50 KG |
| Pulse Rate | 100 / min | Height | cm BMI: inf |
| Diagnosis | |||