Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03192 | Date 25/01/2019 |
| Token No | SM/18-19/7480 25/01/2019 | Serial | 070 Last Visit: 25/01/2019 |
| Patient Name | Mrs. NEHER BIBI | Contact No | |
| Address | 36 A CHATRA MUSALMAN PARA | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||