Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15826 | Date 02/08/2025 |
| Token No | SM/25-26/4414 02/08/2025 | Serial | 007 Last Visit: 02/08/2025 |
| Patient Name | Mr. MD SAFIR RAHAMAN | Contact No | |
| Address | 59NO MP ROAD | Age | 55 Years,2 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||