Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02416 | Date 08/12/2018 |
| Token No | SM/21-22/2665 29/06/2021 | Serial | 006 Last Visit: 06/03/2025 |
| Patient Name | Mr. MAJHAR HOSSAIN | Contact No | 7449649284 |
| Address | CHATRA ARBINDO SARNI SERAMPORE | Age | 76 Years,2 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||