Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10070 | Date 10/09/2021 |
| Token No | SM/21-22/11163 29/03/2022 | Serial | 022 Last Visit: 10/09/2025 |
| Patient Name | Mr. SK IQBAL HOSSAIN | Contact No | 7595918601 |
| Address | M.D LANE SERAMPORE | Age | 28 Years,8 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 158.1 cm BMI: 16.002810 |
| Diagnosis | |||