Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00745 | Date 27/08/2018 |
| Token No | SM/18-19/922 27/08/2018 | Serial | 055 Last Visit: 27/08/2018 |
| Patient Name | Mrs. RUKSHANA BIBI | Contact No | 9007152516 |
| Address | 5, ARBINDA SARANI | Age | 25.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 121/69 mmHg | Weight | 5+ KG |
| Pulse Rate | 81 / min | Height | cm BMI: inf |
| Diagnosis | |||