Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00369 | Date 11/08/2018 |
| Token No | SM/18-19/403 11/08/2018 | Serial | 035 Last Visit: 11/08/2018 |
| Patient Name | Mrs. HASLEMA BIBI | Contact No | |
| Address | MUSALMAN PARA | Age | 25 Years,5 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 103/61 mmHg | Weight | 51 KG |
| Pulse Rate | 79 / min | Height | cm BMI: inf |
| Diagnosis | |||