Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09194 | Date 20/01/2021 |
| Token No | SM/20-21/29567 20/01/2021 | Serial | 015 Last Visit: 20/01/2021 |
| Patient Name | Mr. MD HASIM HOSSAIN | Contact No | 7044353346 |
| Address | 56-C N N ROY STREET SERAMPORE | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||