Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11406 | Date 08/08/2022 |
| Token No | SM/22-23/15523 08/08/2022 | Serial | 008 Last Visit: 08/08/2022 |
| Patient Name | Mr. SK MASUM AHMED | Contact No | 8240088672 |
| Address | 5N., BARIN GHOSH LANE | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||