Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07679 | Date 29/02/2020 |
| Token No | SM/19-20/24890 17/08/2020 | Serial | 052 Last Visit: 18/08/2022 |
| Patient Name | Mr. SK MAKBUL HUSEN | Contact No | 8697360257 |
| Address | 91/D MEYAJON DARJI LANE | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||