Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06032 | Date 01/08/2019 |
| Token No | SM/19-20/7750 01/08/2019 | Serial | 081 Last Visit: 01/08/2019 |
| Patient Name | Mr. RAKIUBUL ISLAM | Contact No | 9749997460 |
| Address | MUSIDABADH | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||