Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04657 | Date 09/04/2019 |
| Token No | SM/19-20/627 09/04/2019 | Serial | 081 Last Visit: 09/04/2019 |
| Patient Name | Mr. MD PARVEJ | Contact No | 8481007295 |
| Address | CHATRA MUSALMAN PARA | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||