Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03535 | Date 03/12/2019 |
| Token No | SM/19-20/7838 03/12/2019 | Serial | 006 |
| Patient Name | Mr. KABIRUL HASAN | Contact No | 9403019283 |
| Address | DEY STREET | Age | 59 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||