Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11592 | Date 19/09/2022 |
| Token No | SM/22-23/16891 19/09/2022 | Serial | 041 Last Visit: 19/09/2022 |
| Patient Name | Mr. MD. HUSEN | Contact No | 7439132532 |
| Address | 21 MUSALMAN PARA BYE LANE SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | 164 cm BMI: 18.218322 |
| Diagnosis | |||