Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11229 | Date 05/07/2022 |
| Token No | SM/22-23/14340 05/07/2022 | Serial | 041 Last Visit: 25/07/2024 |
| Patient Name | Mr. JEYAUL HAQUE | Contact No | 9831808592 |
| Address | MARADAN SERAMPORE | Age | 26 Years,6 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||