Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09987 | Date 25/08/2021 |
| Token No | SM/21-22/4414 25/08/2021 | Serial | 032 Last Visit: 16/09/2021 |
| Patient Name | Mr. RASHID ALAM | Contact No | 9681066418 |
| Address | SILBAGAN | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||