Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00497 | Date 16/08/2018 |
| Token No | SM/18-19/559 16/08/2018 | Serial | 047 Last Visit: 16/08/2018 |
| Patient Name | Mrs. NAHERA BIBI | Contact No | 7890818112 |
| Address | CHATRA MUSLMAN PARA | Age | 30.0 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 100/66 mmHg | Weight | 56 KG |
| Pulse Rate | 89 / min | Height | cm BMI: inf |
| Diagnosis | |||