Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08767 | Date 22/09/2020 |
| Token No | SM/20-21/25943 22/09/2020 | Serial | 039 Last Visit: 22/09/2020 |
| Patient Name | Mr. SK MOFIJUL | Contact No | 6289515569 |
| Address | CHATRA MUSALMAN PARA | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||