Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06682 | Date 18/10/2019 |
| Token No | SM/22-23/23340 03/08/2023 | Serial | 013 Last Visit: 03/08/2023 |
| Patient Name | Mr. SK SAIDUL ISLAM | Contact No | 7439712961 |
| Address | 5/A/1 CHATRA MUSALMAN PARA , SERAMPORE | Age | 26 Years,7 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||