Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11081 | Date 01/06/2022 |
| Token No | SM/22-23/13106 01/06/2022 | Serial | 012 Last Visit: 01/06/2022 |
| Patient Name | Mr. ARBEZ ALAM | Contact No | 7439995929 |
| Address | 7/D ARBINDA SARANI SERAMPORE | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||