Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07109 | Date 09/12/2019 |
| Token No | SM/19-20/15751 23/12/2019 | Serial | 001 Last Visit: 23/12/2019 |
| Patient Name | Mr. RAFIK SK | Contact No | 8972068539 |
| Address | CHATRA MUSALMAN PARA | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||