Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08778 | Date 25/09/2020 |
| Token No | SM/20-21/26025 25/09/2020 | Serial | 017 Last Visit: 25/09/2020 |
| Patient Name | Mr. MAIDUL LASKAR | Contact No | 9062981091 |
| Address | KUMAR PARA SERAMPORE | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||