Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00548 | Date 31/08/2018 |
| Token No | SM/18-19/641 31/08/2018 | Serial | 020 |
| Patient Name | Miss IMRANA KHATUN | Contact No | |
| Address | Age | 40 Female | |
| Token For | Medicine, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 69 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||