Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09040 | Date 10/12/2020 |
| Token No | SM/20-21/28587 18/12/2020 | Serial | 035 Last Visit: 05/03/2021 |
| Patient Name | Mr. SK .SADDUR UDDIN | Contact No | 9088523980 |
| Address | CHATRA MUSLMN PARA | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||