Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06883 | Date 16/11/2019 |
| Token No | SM/19-20/13361 16/11/2019 | Serial | 021 Last Visit: 16/11/2019 |
| Patient Name | Master SK MINARUL ISLAM | Contact No | |
| Address | CHOTO BELUR CHECK POST | Age | 4.5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||