Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00722 | Date 14/09/2018 |
| Token No | SM/18-19/965 14/09/2018 | Serial | 017 |
| Patient Name | Mrs. RUKSANA BEGUM | Contact No | |
| Address | KASHI DAKTAR LANE | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/86 mmHg | Weight | 67 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||