Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01962 | Date 14/11/2018 |
| Token No | SM/18-19/3680 14/11/2018 | Serial | 069 Last Visit: 29/01/2024 |
| Patient Name | Mr. SK FIDA HOSSAIN | Contact No | 9830974576 |
| Address | 13 CHATRA BARIN GHOSH LANE SERAMPORE | Age | 14 Years,0 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||