Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10459 | Date 27/12/2021 |
| Token No | SM/21-22/8163 27/12/2021 | Serial | 055 Last Visit: 27/12/2021 |
| Patient Name | Mr. FAROOQUE AHMED QURAISHI | Contact No | 8478960836 |
| Address | 13/A K. M. BHATTACHARYA STREET | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/100 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | 168 cm BMI: 26.573129 |
| Diagnosis | |||