Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06443 | Date 17/09/2019 |
| Token No | SM/19-20/10534 17/09/2019 | Serial | 025 Last Visit: 17/09/2019 |
| Patient Name | Mr. MD REAZE UDDIN | Contact No | 7449768673 |
| Address | 32 GANDHI SARAK, RISHRA (M) | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||