Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00993 | Date 08/09/2018 |
| Token No | SM/19-20/10229 12/09/2019 | Serial | 047 Last Visit: 12/11/2021 |
| Patient Name | Mr. SK SAHID UDDIN | Contact No | 8336826104 |
| Address | 7, ARBINDA SARANI SERAMPORE | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||