Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06509 | Date 23/09/2019 |
| Token No | SM/21-22/4340 24/08/2021 | Serial | 029 Last Visit: 25/09/2023 |
| Patient Name | Mr. SK ILIYAS | Contact No | 9836316735 |
| Address | 18/1 MUSALMAN PARA BYE LANE | Age | 45 Years,8 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||