Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14030 | Date 10/07/2024 |
| Token No | SM/25-26/7137 18/10/2025 | Serial | 002 Last Visit: 17/11/2025 |
| Patient Name | Mr. DILSAD MAHAMMAD | Contact No | 8858861995 |
| Address | 33 NO CHATRA MUSALAMAN PARA BYE LANE | Age | 45 Years,10 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/63 mmHg | Weight | 60.3 KG |
| Pulse Rate | / min | Height | 161.9 cm BMI: 23.005073 |
| Diagnosis | |||