Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00913 | Date 10/09/2018 |
| Token No | SM/18-19/1193 10/09/2018 | Serial | 002 |
| Patient Name | Miss RUKSANA KHATUN | Contact No | |
| Address | MANIKTALA | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 116/74 mmHg | Weight | 51 KG |
| Pulse Rate | 71 / min | Height | cm |
| Diagnosis | |||