Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00747 | Date 19/09/2018 |
| Token No | SM/18-19/1000 19/09/2018 | Serial | 010 |
| Patient Name | Baby SK. SAKIB | Contact No | |
| Address | DEY STREE | Age | 6 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | 98 / min | Height | cm |
| Diagnosis | |||