Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15782 | Date 29/07/2025 |
| Token No | SM/25-26/4225 29/07/2025 | Serial | 001 Last Visit: 29/07/2025 |
| Patient Name | Mr. AKTAR JAHAN RAHAMAN | Contact No | |
| Address | 18 NO KD LANE | Age | 61 Years,1 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||