Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00131 | Date 08/08/2018 |
| Token No | SM/18-19/136 08/08/2018 | Serial | 002 |
| Patient Name | Mr. MD. SABIRUDDIN | Contact No | |
| Address | DEY STREET | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 70 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||