Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10529 | Date 08/01/2022 |
| Token No | SM/21-22/9924 16/02/2022 | Serial | 010 Last Visit: 26/05/2023 |
| Patient Name | Mr. SK. MAHEBUB AHAMED | Contact No | 7003328443 |
| Address | 5, BARIN ROAD | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||