Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10551 | Date 13/01/2022 |
| Token No | SM/22-23/15623 11/08/2022 | Serial | 022 Last Visit: 27/09/2022 |
| Patient Name | Mr. QUAZI HEZBUL | Contact No | 9143619411 |
| Address | NASIB PUR HOOGHLI | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||