Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01145 | Date 14/09/2018 |
| Token No | SM/18-19/1670 14/09/2018 | Serial | 036 Last Visit: 14/09/2018 |
| Patient Name | Mr. INJAMUL ISLAM | Contact No | 7003666385 |
| Address | 15, CHATRA MUSALMAN PARA | Age | 20.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 117/85 mmHg | Weight | 50 KG |
| Pulse Rate | 118 / min | Height | cm BMI: inf |
| Diagnosis | |||