Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02821 | Date 04/01/2019 |
| Token No | SM/18-19/6257 04/01/2019 | Serial | 042 Last Visit: 04/01/2019 |
| Patient Name | Mrs. KABERUN BIBI | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||