Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03613 | Date 16/02/2019 |
| Token No | SM/18-19/8797 16/02/2019 | Serial | 021 Last Visit: 16/02/2019 |
| Patient Name | Mrs. ATASI SHIULY | Contact No | 7890662724 |
| Address | 5/B TARA PUKUR LANE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/80 mmHg | Weight | 96 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||