Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01982 | Date 15/11/2018 |
| Token No | SM/18-19/3741 15/11/2018 | Serial | 036 Last Visit: 15/11/2018 |
| Patient Name | Mrs. MOBIHUN BIBI | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||