Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08173 | Date 30/04/2020 |
| Token No | SM/21-22/6977 22/11/2021 | Serial | 017 Last Visit: 22/11/2021 |
| Patient Name | Mr. MD SAMSUL | Contact No | 9681252895 |
| Address | 51 DEY STREET, | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||