Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09886 | Date 28/07/2021 |
| Token No | SM/21-22/3581 28/07/2021 | Serial | 015 Last Visit: 28/07/2021 |
| Patient Name | Mr. MD TABREZ ALAM | Contact No | 7980047699 |
| Address | K.B.M ROAD BYE LANE BHADRESWAR | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||