Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08017 | Date 06/04/2020 |
| Token No | SM/19-20/20761 06/04/2020 | Serial | 012 Last Visit: 06/04/2020 |
| Patient Name | Master RASID FAIZ | Contact No | 6291882803 |
| Address | 29/A CHATRA MUSALMAN PARA | Age | 7.3YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||