Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02634 | Date 29/07/2019 |
| Token No | SM/18-19/5199 29/07/2019 | Serial | 009 |
| Patient Name | Master RAHAN HOSSAIN | Contact No | not given |
| Address | 16 K M SHA STREET | Age | 2 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||