Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01433 | Date 19/12/2018 |
| Token No | SM/18-19/2042 19/12/2018 | Serial | 025 |
| Patient Name | Mr. FIROJ ABAS | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 26 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 59 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||