Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00795 | Date 22/09/2018 |
| Token No | SM/18-19/1057 22/09/2018 | Serial | 037 |
| Patient Name | Mr. AJIJUL SK | Contact No | 7548962151 |
| Address | DEY STREET | Age | 26 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 64 KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||