Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00684 | Date 25/08/2018 |
| Token No | SM/21-22/1901 03/06/2021 | Serial | 024 Last Visit: 18/10/2025 |
| Patient Name | Mr. SK. SARFUDDIN | Contact No | 9051672355 |
| Address | 18 CHATRA MUSALMANPARA/LANE | Age | 67 Years,9 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||