Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04644 | Date 09/04/2019 |
| Token No | SM/19-20/584 09/04/2019 | Serial | 038 Last Visit: 09/04/2019 |
| Patient Name | Mrs. ROSNA BIBI | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||