Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00048 | Date 02/08/2018 |
| Token No | SM/18-19/48 02/08/2018 | Serial | 014 Last Visit: 02/08/2018 |
| Patient Name | Baby NAJMIN PARVIN | Contact No | 6291110831 |
| Address | CHATRA MUSALMAN PARA | Age | 9.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||