Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02277 | Date 01/12/2018 |
| Token No | SM/18-19/8293 08/02/2019 | Serial | 019 Last Visit: 08/02/2019 |
| Patient Name | Master SK ARIF | Contact No | 7890484483 |
| Address | CHATRA MUSALMAN PARA ROAD | Age | 4.6 M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||