Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10124 | Date 24/09/2021 |
| Token No | SM/21-22/5408 24/09/2021 | Serial | 003 Last Visit: 29/12/2021 |
| Patient Name | Mr. MD. ANWAR HOSSAIN | Contact No | 6291803503 |
| Address | 121,A.P GHOSH ROAD SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||