Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03740 | Date 20/02/2019 |
| Token No | SM/19-20/20970 09/04/2020 | Serial | 048 Last Visit: 13/10/2025 |
| Patient Name | Mr. SK ATIBUL RAHAMAN | Contact No | 9143655009 |
| Address | 21 KANAHAI DEWAN TALA CHATRA | Age | 46 Years,10 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||