Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02534 | Date 14/12/2018 |
| Token No | SM/18-19/5258 14/12/2018 | Serial | 047 Last Visit: 21/12/2018 |
| Patient Name | Mrs. RASHNA BIBI | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||