Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00338 | Date 29/08/2018 |
| Token No | SM/18-19/769 06/09/2018 | Serial | 007 |
| Patient Name | Mrs. HOSNA PARVIN | Contact No | 9830391513 |
| Address | 37,DEY STREET | Age | 32 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||