Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06550 | Date 26/09/2019 |
| Token No | SM/19-20/12442 26/10/2019 | Serial | 011 Last Visit: 26/10/2019 |
| Patient Name | Mr. SEKH ESRAR ALAM | Contact No | 9804109041 |
| Address | 56 A N.N. ROY STREET | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||