Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04190 | Date 13/03/2019 |
| Token No | SM/19-20/4348 11/06/2019 | Serial | 024 Last Visit: 18/12/2024 |
| Patient Name | Mr. SK LYAD ALI | Contact No | 6289366469 |
| Address | CHATRA MUSALMAN PARA | Age | 41 Years,11 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||