Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10127 | Date 24/09/2021 |
| Token No | SM/22-23/20699 17/03/2023 | Serial | 020 Last Visit: 08/12/2025 |
| Patient Name | Mr. SK. KAMAL HOSSAIN | Contact No | 6289256409 |
| Address | 13,BARIN GHOSH LANE SERAMPORE | Age | 44 Years,2 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||