Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03356 | Date 11/11/2019 |
| Token No | SM/18-19/7350 11/11/2019 | Serial | 034 |
| Patient Name | Master ABINASH SIL | Contact No | 9330090284 |
| Address | 72/A PATUA PARA LANE | Age | 13 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||