Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00559 | Date 18/08/2018 |
| Token No | SM/18-19/653 18/08/2018 | Serial | 049 Last Visit: 18/08/2018 |
| Patient Name | Mrs. MOMINA BIBI | Contact No | 9748252282 |
| Address | CHATRA, MUSALMANPARA | Age | 24.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 107/77 mmHg | Weight | 39 KG |
| Pulse Rate | 112 / min | Height | cm BMI: inf |
| Diagnosis | |||