Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02605 | Date 25/07/2019 |
| Token No | SM/18-19/5113 25/07/2019 | Serial | 018 |
| Patient Name | Mr. SADDAM HOSSAIN | Contact No | 9661794286 |
| Address | GOALA PARA, RISHRA | Age | 24 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||