Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05579 | Date 26/06/2019 |
| Token No | SM/19-20/5363 26/06/2019 | Serial | 027 Last Visit: 03/05/2024 |
| Patient Name | Mr. MD JAMIR | Contact No | |
| Address | 21 NO MUSALMAN PARA / LANE SHEORAPHULI | Age | 66 Years,4 Months,0 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||