Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06520 | Date 24/09/2019 |
| Token No | SM/19-20/11821 16/10/2019 | Serial | 039 Last Visit: 24/11/2021 |
| Patient Name | Mr. SK MAINUDDIN | Contact No | 7980505039 |
| Address | 28/A CHATRA MUSALMAN PARA BEY LANE | Age | 74 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||