Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11029 | Date 10/01/2024 |
| Token No | SM/22-23/14242 11/01/2024 | Serial | 018 |
| Patient Name | Mr. TARIKUL ISLAM | Contact No | 9134002230 |
| Address | JOLKOL WORKER | Age | 55 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||