Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11268 | Date 14/07/2022 |
| Token No | SM/22-23/14608 14/07/2022 | Serial | 013 Last Visit: 06/05/2023 |
| Patient Name | Mr. KAZI SAMIULLAH | Contact No | 8240694562 |
| Address | 5 BARIN GHOSH LANE SHEORAPHULI | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||