Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00544 | Date 18/08/2018 |
| Token No | SM/18-19/629 18/08/2018 | Serial | 025 Last Visit: 30/08/2018 |
| Patient Name | Master SK. AFROZ | Contact No | |
| Address | 4, MUSALMAN PARA | Age | 1.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||