Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 00190 | Date 07/08/2018 |
| Token No | SM/18-19/3682 14/11/2018 | Serial | 071 Last Visit: 10/04/2019 |
| Patient Name | Mr. MD ISLAM | Contact No | 9088492907 |
| Address | 8, PARSI LANE | Age | 60.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||