Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11864 | Date 18/01/2023 |
| Token No | SM/22-23/19895 20/01/2023 | Serial | 018 Last Visit: 28/01/2023 |
| Patient Name | Mr. M.D.ISLAM | Contact No | 7450884028 |
| Address | 21 MUSALMAN PARA BYE LANE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 167 cm BMI: 22.230987 |
| Diagnosis | |||