Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 03417 | Date 18/11/2019 |
| Token No | SM/18-19/7480 18/11/2019 | Serial | 022 |
| Patient Name | Master ROHAN HOSSAIN | Contact No | 9088055787 |
| Address | K M SHA STREET | Age | 9 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||