Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08949 | Date 09/11/2020 |
| Token No | SM/20-21/27341 09/11/2020 | Serial | 046 Last Visit: 09/11/2020 |
| Patient Name | Baby SK SALMAN UDDIN | Contact No | 6289688212 |
| Address | 12/A CHATRA MUSALMAN PARA | Age | 10 MONTH Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||