Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12390 | Date 31/08/2023 |
| Token No | SM/22-23/23992 31/08/2023 | Serial | 006 Last Visit: 31/08/2023 |
| Patient Name | Master RASID UDDIN | Contact No | 8100233661 |
| Address | CHATRA MUSALMAN PARA | Age | 5 Years,11 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||