Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03112 | Date 21/01/2019 |
| Token No | SM/18-19/7168 21/01/2019 | Serial | 036 Last Visit: 12/10/2023 |
| Patient Name | Mr. SK JAKIR HOSSAIN | Contact No | 9830974576 |
| Address | 13 CHATRA BARIN GHOSH LANE, SERAMPORE | Age | 56 Years,9 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||