Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07776 | Date 13/03/2020 |
| Token No | SM/21-22/3888 09/08/2021 | Serial | 038 Last Visit: 03/03/2022 |
| Patient Name | Mr. SK ISLAM | Contact No | 9874215539 |
| Address | 131 A. P GHOSH ROAD, | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||