Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02056 | Date 20/11/2018 |
| Token No | SM/19-20/11148 26/09/2019 | Serial | 032 Last Visit: 17/10/2019 |
| Patient Name | Mr. SK PARMEVAZ AMINUR RASHID | Contact No | 7890076607 |
| Address | 23/1A CHATRA MUSALMAN PARA BY LANE | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||