Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03693 | Date 19/02/2019 |
| Token No | SM/21-22/7505 07/12/2021 | Serial | 001 Last Visit: 20/12/2023 |
| Patient Name | Mr. SK SIRAJUL ISLAM | Contact No | 9874762563 |
| Address | 9 ARABINDA SARANI, SERAMPORE | Age | 67 Years,11 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||