Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07993 | Date 02/04/2020 |
| Token No | SM/19-20/20626 02/04/2020 | Serial | 005 Last Visit: 02/04/2020 |
| Patient Name | Mr. SK MAJAHAR HOSSAIN | Contact No | |
| Address | 5NO,ARABINDA SARANI CHATRA | Age | 84 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||