Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03761 | Date 21/02/2019 |
| Token No | SM/21-22/6301 26/10/2021 | Serial | 055 Last Visit: 21/07/2022 |
| Patient Name | Mr. BADRUDDIN AHEMED | Contact No | 7688059269 |
| Address | 9 BENGAL KLAYAN SHEWRAPHULI , BAIDYABATI(M) | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||