Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09500 | Date 21/04/2021 |
| Token No | SM/21-22/651 21/04/2021 | Serial | 010 Last Visit: 20/09/2025 |
| Patient Name | Mr. SK MAINUDDIN | Contact No | 9143143716 |
| Address | 18 CHATRA MUSALMAN PARA BYE LANE | Age | 59 Years,8 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||