Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11133 | Date 12/02/2024 |
| Token No | SM/22-23/14735 12/02/2024 | Serial | 011 |
| Patient Name | Mr. MD TANBIR | Contact No | 9830771191 |
| Address | 56 N.N. ROY STREET | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||