Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10193 | Date 08/10/2021 |
| Token No | SM/21-22/5901 08/10/2021 | Serial | 023 Last Visit: 13/08/2025 |
| Patient Name | Master SK SHAKIBUDDIN | Contact No | 9007733611 |
| Address | 9,ARABINDA SARANI SERAMPORE | Age | 6 Years,10 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||