Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00445 | Date 14/08/2018 |
| Token No | SM/18-19/497 14/08/2018 | Serial | 038 Last Visit: 24/06/2020 |
| Patient Name | Mrs. MEHRUN | Contact No | |
| Address | 41 MUSALMAN PARA | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 95/60 mmHg | Weight | 45 KG |
| Pulse Rate | 76 / min | Height | cm BMI: inf |
| Diagnosis | |||