Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00881 | Date 01/09/2018 |
| Token No | SM/18-19/2365 03/10/2018 | Serial | 020 Last Visit: 03/10/2018 |
| Patient Name | Mr. SK ROHIM UDDIN | Contact No | |
| Address | 18 CHATRA MUSALMAN PARA | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||