Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00929 | Date 05/09/2018 |
| Token No | SM/21-22/6289 26/10/2021 | Serial | 043 Last Visit: 28/10/2025 |
| Patient Name | Mr. SK IJAJUL ISLAM | Contact No | 9830841286 |
| Address | 15, MUSALMAN PARA BYE LANE | Age | 55 Years,9 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 153/97 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||