Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07819 | Date 17/03/2020 |
| Token No | SM/19-20/19793 17/03/2020 | Serial | 052 Last Visit: 17/03/2020 |
| Patient Name | Master SAKIBUR RAHAMAN SARDER | Contact No | 7449959557 |
| Address | KHANDAKAR PARA ,,SEORAPHULI BAIDYABATI | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||