Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03742 | Date 20/02/2019 |
| Token No | SM/18-19/9135 20/02/2019 | Serial | 073 Last Visit: 15/10/2020 |
| Patient Name | Miss ZARA HOSSAIN | Contact No | 9062356424 |
| Address | MIRPUR KOYEL PARA RISHRA | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||