Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06067 | Date 06/08/2019 |
| Token No | SM/19-20/8024 06/08/2019 | Serial | 045 Last Visit: 09/08/2019 |
| Patient Name | Mr. SK PARVAZ AMINUR RASHID | Contact No | 9038515161 |
| Address | 32/1/A MUSALMAN PARA BEY LANE | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||