Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03718 | Date 20/02/2019 |
| Token No | SM/19-20/1949 30/04/2019 | Serial | 017 Last Visit: 30/04/2019 |
| Patient Name | Mrs. ASURA BIBI | Contact No | 6289568085 |
| Address | 36/A CHATRA MUSALMAN PARA | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 146/90 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||