Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08188 | Date 30/04/2020 |
| Token No | SM/19-20/22905 09/06/2020 | Serial | 035 Last Visit: 09/06/2020 |
| Patient Name | Mr. NASIRUL ISLAM | Contact No | 8017323649 |
| Address | 1 DR, CHATTERJEE BYE LANE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||