Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03783 | Date 22/02/2019 |
| Token No | SM/18-19/9239 22/02/2019 | Serial | 016 Last Visit: 22/02/2019 |
| Patient Name | Mr. SAKIBUL | Contact No | 7679909516 |
| Address | NABODIP | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||