Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09922 | Date 09/08/2021 |
| Token No | SM/21-22/4040 13/08/2021 | Serial | 035 Last Visit: 11/04/2025 |
| Patient Name | Mr. KAYAM UDDIN | Contact No | |
| Address | JAMALPUR | Age | 47 Years,3 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||