Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09433 | Date 06/04/2021 |
| Token No | SM/21-22/173 06/04/2021 | Serial | 017 Last Visit: 06/04/2021 |
| Patient Name | Mr. IGBAL HOSSAIN | Contact No | 6289808440 |
| Address | 19,CHATRA KANAI DEON TALA SERAMPORE | Age | 13 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||