Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03447 | Date 07/02/2019 |
| Token No | SM/18-19/8263 07/02/2019 | Serial | 090 Last Visit: 08/04/2019 |
| Patient Name | Master MD SAMIM | Contact No | 8617274181 |
| Address | 21 CHATRA ,MUSALMAN PARA | Age | 5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||