Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05845 | Date 19/07/2019 |
| Token No | SM/19-20/6852 19/07/2019 | Serial | 042 Last Visit: 19/07/2019 |
| Patient Name | Mr. SK AKTAR ALI | Contact No | 9674547940 |
| Address | 19/C KUMER PARA LANE | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||