Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03793 | Date 22/02/2019 |
| Token No | SM/18-19/9274 22/02/2019 | Serial | 051 Last Visit: 22/02/2019 |
| Patient Name | Mr. MD ARSHLAN REZA | Contact No | 8961686208 |
| Address | 25 MUSLIM PARA LANE TIKIYAPARA | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||