Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00588 | Date 20/08/2018 |
| Token No | SM/18-19/692 20/08/2018 | Serial | 036 Last Visit: 25/08/2020 |
| Patient Name | Mrs. NABINA BIBI | Contact No | |
| Address | 1, CHATRA MUSALMANPARA/LANE | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 114/75 mmHg | Weight | 47 KG |
| Pulse Rate | 90 / min | Height | cm BMI: inf |
| Diagnosis | |||