Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11021 | Date 04/01/2024 |
| Token No | SM/22-23/14741 12/02/2024 | Serial | 017 |
| Patient Name | Mr. ASRAF HOSSAIN (HO SIR) | Contact No | |
| Address | DIARA | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||