Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05233 | Date 25/05/2019 |
| Token No | SM/20-21/26250 03/10/2020 | Serial | 026 Last Visit: 19/10/2020 |
| Patient Name | Mr. MD ANWARUL HASAN | Contact No | 9230292662 |
| Address | 10 CHATRA KANAI DEWAN TALA LANE , BAIDYABATI(M) | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||