Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01548 | Date 06/10/2018 |
| Token No | SM/18-19/4020 22/11/2018 | Serial | 015 Last Visit: 18/01/2020 |
| Patient Name | Mrs. RUKSANA BIBI | Contact No | 7685984573 |
| Address | CHATRA MUSALMAN PARA | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||