Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03998 | Date 05/03/2019 |
| Token No | SM/18-19/9839 05/03/2019 | Serial | 040 Last Visit: 19/08/2024 |
| Patient Name | Mr. SK IRFAN ISLAM | Contact No | 8481875348 |
| Address | CHATRA MUSALMAN PARA | Age | 15 Years,7 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||