Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04607 | Date 08/04/2019 |
| Token No | SM/19-20/467 08/04/2019 | Serial | 031 Last Visit: 10/04/2019 |
| Patient Name | Mrs. TAMMANA BIBI | Contact No | 8481007295 |
| Address | CHATRA MUSALMAN PARA | Age | 18 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||