Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00956 | Date 06/09/2018 |
| Token No | SM/21-22/4921 09/09/2021 | Serial | 019 Last Visit: 16/12/2023 |
| Patient Name | Mr. KASHIM MALLICK | Contact No | 9836030945 |
| Address | 5A/1 CHATRA MUSALMAN PARA BY LANE | Age | 60 Years,11 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||