Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10596 | Date 22/01/2022 |
| Token No | SM/21-22/9236 22/01/2022 | Serial | 003 Last Visit: 08/12/2025 |
| Patient Name | Master SK SAKIB HOSSAIN | Contact No | 6289256409 |
| Address | 13 CHATRA BARIN GHOSH LANE SERAMPORE | Age | 6 Years,3 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||