Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12024 | Date 05/04/2023 |
| Token No | SM/22-23/23733 21/08/2023 | Serial | 041 Last Visit: 19/11/2024 |
| Patient Name | Mr. SK MAHMOOD ALAM | Contact No | 9123935022 |
| Address | 5/A/1 MUSALMAN PARA G S F P SCHOOL CHATRA | Age | 55 Years,10 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||