Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03695 | Date 19/02/2019 |
| Token No | SM/18-19/9006 19/02/2019 | Serial | 036 Last Visit: 30/07/2025 |
| Patient Name | Mr. SK MAIDUL | Contact No | 7890818112 |
| Address | 5/A CHATRA MUDALMAN PARA | Age | 44 Years,6 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||