Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10476 | Date 30/12/2021 |
| Token No | SM/21-22/8691 08/01/2022 | Serial | 022 Last Visit: 30/07/2024 |
| Patient Name | Mr. MD JAMIRUL HAQUE | Contact No | 6290413941 |
| Address | 32 G. T. ROAD, | Age | 63 Years,6 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||