Ticket for Outdoor Patient
Ward No.  1 U-PHC No.   Registration No.  08176 Date  30/04/2020
Token No SM/19-20/21758   30/04/2020 Serial 042   Last Visit: 30/04/2020
Patient Name Mr. SAYED ASHRAF GAHANGIR ALI Contact No6291017559
Address 26/A KANAI DEWAN TALA LANE,SHEORAPHULI. Age 15 YRS   Male
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm    BMI: nan
Diagnosis