Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00842 | Date 12/09/2018 |
| Token No | SM/18-19/1113 12/09/2018 | Serial | 003 |
| Patient Name | Mr. ASIF ALAM | Contact No | |
| Address | Age | 35 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/68 mmHg | Weight | 56 KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||