Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01904 | Date 05/11/2018 |
| Token No | SM/18-19/3489 05/11/2018 | Serial | 049 Last Visit: 05/11/2018 |
| Patient Name | Mr. IMTIAJ ALAM | Contact No | 9681676408 |
| Address | 48 N N ROY STREET | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||