Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08033 | Date 06/04/2020 |
| Token No | SM/19-20/21808 01/05/2020 | Serial | 014 Last Visit: 03/12/2020 |
| Patient Name | Master MD ISMAIL UDDIN | Contact No | 7003626346 |
| Address | CHATRA MUSALMAN PARA | Age | 3Y 6M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||