Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01397 | Date 18/12/2018 |
| Token No | SM/18-19/2004 18/12/2018 | Serial | 030 |
| Patient Name | Mr. SK HOSSIN | Contact No | |
| Address | Age | 45 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 57 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||