Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10064 | Date 09/09/2021 |
| Token No | SM/21-22/9853 14/02/2022 | Serial | 029 Last Visit: 22/11/2024 |
| Patient Name | Mr. SK DILUER HOSSAIN | Contact No | 8961355762 |
| Address | 91/D MIYANJAN DARJEE LANE SERAMPORE | Age | 56 Years,10 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||