Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 02897 | Date 08/01/2019 |
| Token No | SM/18-19/9432 25/02/2019 | Serial | 039 Last Visit: 15/03/2022 |
| Patient Name | Mr. SAKIB ALI | Contact No | 8100655097 |
| Address | RABINDRA BHABON ROAD | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||