Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07028 | Date 30/11/2019 |
| Token No | SM/20-21/28503 17/12/2020 | Serial | 009 Last Visit: 07/12/2024 |
| Patient Name | Mr. HABIBUR RAHAMAN | Contact No | 9830517329 |
| Address | 19 CHATRA KUMAR PARA ROAD SERAMPORE | Age | 55 Years,10 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||