Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05071 | Date 11/05/2019 |
| Token No | SM/19-20/3973 03/06/2019 | Serial | 096 Last Visit: 26/08/2019 |
| Patient Name | Mr. SK BADRUDDIN | Contact No | 6291320343 |
| Address | 45/A MALLICK PARA | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||