Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00560 | Date 18/08/2018 |
| Token No | SM/18-19/654 18/08/2018 | Serial | 050 Last Visit: 18/08/2018 |
| Patient Name | Mrs. SAJINA BIBI | Contact No | 9748252282 |
| Address | CHATRA MUSALMAN PARA | Age | 25.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 94/63 mmHg | Weight | 41 KG |
| Pulse Rate | 118 / min | Height | cm BMI: inf |
| Diagnosis | |||