Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08614 | Date 03/08/2020 |
| Token No | SM/19-20/24670 03/08/2020 | Serial | 013 Last Visit: 03/08/2020 |
| Patient Name | Mr. MD HASAN | Contact No | 9062560238 |
| Address | CHATRA MUSALMANPARA | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||