Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03018 | Date 15/01/2019 |
| Token No | SM/21-22/4192 18/08/2021 | Serial | 042 Last Visit: 03/12/2022 |
| Patient Name | Mr. DR.ASRAF HOSSAIN | Contact No | |
| Address | DIARA | Age | 65 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||