Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 04824 | Date 22/04/2019 |
| Token No | SM/19-20/15150 12/12/2019 | Serial | 070 Last Visit: 10/02/2024 |
| Patient Name | Mr. TAJAMMUL HUSSAIN | Contact No | 9903107642 |
| Address | 54 PG BAHADUR SARANI NEAR TINBAZAR SERAMPORE | Age | 56 Years,1 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||