Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00001 | Date 01/08/2018 |
| Token No | SM/19-20/4967 20/06/2019 | Serial | 107 Last Visit: 29/08/2025 |
| Patient Name | Mrs. MD HOSSAIN | Contact No | 7449899983 |
| Address | 56,NN ROY STREET | Age | 12 Years,7 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||