Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01930 | Date 12/11/2018 |
| Token No | SM/19-20/4108 06/06/2019 | Serial | 084 Last Visit: 06/06/2019 |
| Patient Name | Mr. SK AMINUR ALI | Contact No | 7044171059 |
| Address | CHATRA MUSALMAN PARA | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||