Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04860 | Date 23/04/2019 |
| Token No | SM/19-20/1485 23/04/2019 | Serial | 066 Last Visit: 23/04/2019 |
| Patient Name | Mr. SK AKTAR HOSSAIN | Contact No | 8584946125 |
| Address | 7, ARBINDA SARANI CHATRA SERAMPORE | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||