Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00929 | Date 05/09/2018 |
| Token No | SM/18-19/9109 20/02/2019 | Serial | 047 Last Visit: 28/10/2025 |
| Patient Name | Mr. SK IJAJUL ISLAM | Contact No | 9830841286 |
| Address | 15, MUSALMAN PARA BYE LANE | Age | 55 Years,9 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||