Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10238 | Date 27/10/2021 |
| Token No | SM/21-22/7902 20/12/2021 | Serial | 004 Last Visit: 20/12/2021 |
| Patient Name | Master SK FARAN HOSSAIN | Contact No | 9330100049 |
| Address | 47 CHATRA MUSALMAN PARA, | Age | 1 Y 8M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||