Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03682 | Date 06/01/2020 |
| Token No | SM/19-20/8244 06/01/2020 | Serial | 013 |
| Patient Name | Mr. ANISUR RAHAMAN | Contact No | 9830485622 |
| Address | 10 NO LINE | Age | 55 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||