Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12234 | Date 13/07/2023 |
| Token No | SM/22-23/22852 13/07/2023 | Serial | 010 Last Visit: 13/07/2023 |
| Patient Name | Mr. SEKH HASAN | Contact No | 8017681485 |
| Address | 30/B CHATRA MUSALMAN PARA PARA LANE | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||