Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 11155 | Date 20/06/2022 |
| Token No | SM/22-23/13725 20/06/2022 | Serial | 007 Last Visit: 13/08/2022 |
| Patient Name | Mr. SK KHURSHID HOSSAIN | Contact No | 8777580052 |
| Address | 91/D, MIYAJAN DARJEE LANE SERAMPORE | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | 160.3 cm BMI: 18.290720 |
| Diagnosis | |||