Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12177 | Date 26/06/2023 |
| Token No | SM/22-23/22417 26/06/2023 | Serial | 008 Last Visit: 26/06/2023 |
| Patient Name | Mr. AKIB HOSSEN | Contact No | 6289204704 |
| Address | 7/A ARABINDA SARANI | Age | 4 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 13.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||