Ticket for Outdoor Patient
Ward No.  1 U-PHC No.   Registration No.  08008 Date  03/04/2020
Token No SM/19-20/20697   03/04/2020 Serial 028   Last Visit: 03/04/2020
Patient Name Mr. SAYED SHAKIL AHAMED Contact No9163755687
Address 26/A KANAI DEWAN TALA,SHORAPHULI Age 45 YRS   Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm    BMI: nan
Diagnosis