Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03431 | Date 19/11/2019 |
| Token No | SM/22-23/14364 18/01/2024 | Serial | 036 |
| Patient Name | Mr. NURUL HUDA | Contact No | 9831272094 |
| Address | 53 DEY STREET | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||