Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06428 | Date 16/09/2019 |
| Token No | SM/19-20/21267 17/04/2020 | Serial | 035 Last Visit: 24/07/2020 |
| Patient Name | Master BISHAL HOSSAIN | Contact No | 8017353323 |
| Address | 22 CHATRA KUMAR PARA SERAMPORE | Age | 2.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||