Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10219 | Date 23/10/2021 |
| Token No | SM/21-22/6144 23/10/2021 | Serial | 011 Last Visit: 18/12/2023 |
| Patient Name | Mr. SK KURBAN HOSSEN | Contact No | 6290095844 |
| Address | 91/D MIYAJON DARJEE LANE,MASLLICK PARA | Age | 30 Years,11 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||