Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02860 | Date 07/01/2019 |
| Token No | SM/18-19/6383 07/01/2019 | Serial | 037 Last Visit: 12/10/2020 |
| Patient Name | Mr. ALIF HOSSAIN | Contact No | 9831929443 |
| Address | GC GOSWAMI STREET | Age | 24 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 83 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||