Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04550 | Date 04/04/2019 |
| Token No | SM/19-20/607 09/04/2019 | Serial | 061 Last Visit: 09/04/2019 |
| Patient Name | Mrs. HASIDUN KHATUN | Contact No | 7044171061 |
| Address | 21 CHATRA MUSALMAN PARA | Age | 20 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||