Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07585 | Date 19/02/2020 |
| Token No | SM/19-20/18371 19/02/2020 | Serial | 032 Last Visit: 19/02/2020 |
| Patient Name | Mr. HAFIZUR RAHAMAN | Contact No | 9681812176 |
| Address | 3 CHATRA BARIN GHOSH LANE,SHEORAPHULI | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||