Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05851 | Date 19/07/2019 |
| Token No | SM/19-20/7722 01/08/2019 | Serial | 053 Last Visit: 06/08/2022 |
| Patient Name | Mr. MD SAHAZADA HAQUE | Contact No | 9674253720 |
| Address | 3 CHATRA MUSALMAN PARA | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||