Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02070 | Date 22/11/2018 |
| Token No | SM/19-20/20765 06/04/2020 | Serial | 016 Last Visit: 09/09/2023 |
| Patient Name | Mr. SK NOOR ISLAM | Contact No | 7449680392 |
| Address | 39, MUSALMAN PARA ROAD | Age | 41 Years,8 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||