Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00567 | Date 10/08/2018 |
| Token No | SM/18-19/1474 28/09/2018 | Serial | 023 |
| Patient Name | Mr. ANIKUL SEKH | Contact No | |
| Address | Age | 26 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||