Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00519 | Date 17/08/2018 |
| Token No | SM/18-19/592 17/08/2018 | Serial | 030 Last Visit: 08/01/2019 |
| Patient Name | Mr. MAJIBUL | Contact No | 9007755751 |
| Address | 4/A ARABINDA SARANI | Age | 40.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 122/78 mmHg | Weight | 59 KG |
| Pulse Rate | 93 / min | Height | cm BMI: inf |
| Diagnosis | |||