Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06271 | Date 30/08/2019 |
| Token No | SM/19-20/11995 18/10/2019 | Serial | 015 Last Visit: 18/10/2019 |
| Patient Name | Mr. SAMSUL HAQUE | Contact No | 9330109248 |
| Address | 32 GANDHI SARAK RISHRA HOOGHLY | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||