Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00519 | Date 20/08/2018 |
| Token No | SM/18-19/603 20/08/2018 | Serial | 050 |
| Patient Name | Mrs. ROKEYA BEGUM | Contact No | |
| Address | Age | 38 Female | |
| Token For | Medicine, | Charge | Free |
| B.P | 128/74 mmHg | Weight | KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||