Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10300 | Date 17/11/2021 |
| Token No | SM/21-22/6910 17/11/2021 | Serial | 037 Last Visit: 19/05/2025 |
| Patient Name | Mr. SEKH SELIM | Contact No | 7003275703 |
| Address | 45B/2 CHATRA MUSALMAN PARA ROAD | Age | 41 Years,4 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||