Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06224 | Date 26/08/2019 |
| Token No | SM/25-26/5593 02/09/2025 | Serial | 012 Last Visit: 02/09/2025 |
| Patient Name | Mr. MD GOLAM MUSTAFA | Contact No | 9903863328 |
| Address | CHATRA MUSALMAN PARA | Age | 17 Years,8 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||