Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06515 | Date 23/09/2019 |
| Token No | SM/19-20/10961 23/09/2019 | Serial | 088 Last Visit: 23/09/2019 |
| Patient Name | Master SK MOBARAK HUSEN | Contact No | |
| Address | 56 N. N, ROY STREET | Age | 3 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||