Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00960 | Date 06/09/2018 |
| Token No | SM/18-19/1319 06/09/2018 | Serial | 044 Last Visit: 25/05/2022 |
| Patient Name | Mr. MD HAFIZ | Contact No | 9051121592 |
| Address | 18/1 CHATRA MUSALMAN PARA BYE LANE | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||