Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05776 | Date 15/07/2019 |
| Token No | SM/19-20/6516 15/07/2019 | Serial | 059 Last Visit: 21/11/2019 |
| Patient Name | Master SK SAIBUDDIN | Contact No | 9051945424 |
| Address | CHATRA MUSALMAN PARA /LANE | Age | 5.5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||