Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 09734 | Date 22/06/2021 |
| Token No | SM/21-22/2429 22/06/2021 | Serial | 018 Last Visit: 22/06/2021 |
| Patient Name | Mr. SK. SANAULLAH | Contact No | 9339641070 |
| Address | 111/50/B KAZIPARA BAIDHYABATI | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||