Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02059 | Date 20/11/2018 |
| Token No | SM/19-20/4637 15/06/2019 | Serial | 020 Last Visit: 24/09/2025 |
| Patient Name | Mr. SK AMINUR RASHID | Contact No | 9088071410 |
| Address | CHATRA MUSALMAN PARA | Age | 60 Years,8 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||