Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11869 | Date 20/01/2023 |
| Token No | SM/22-23/19892 20/01/2023 | Serial | 015 Last Visit: 23/07/2025 |
| Patient Name | Mr. SK RABIKUL ISLAM | Contact No | 7439095187 |
| Address | 28/A CHATRA MUSALMAN PARA BYE LANE | Age | 34 Years,6 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | 168.5 cm BMI: 24.654615 |
| Diagnosis | |||