Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 03737 | Date 14/01/2020 |
| Token No | SM/19-20/8386 14/01/2020 | Serial | 008 |
| Patient Name | Mr. SAHIL SEKH | Contact No | 9064720872 |
| Address | TIN BAZAR | Age | 18 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||