Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05221 | Date 24/05/2019 |
| Token No | SM/19-20/3371 24/05/2019 | Serial | 056 Last Visit: 24/05/2019 |
| Patient Name | Mr. MD KYAMUDIN | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||