Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11065 | Date 28/05/2022 |
| Token No | SM/22-23/25209 11/10/2023 | Serial | 019 Last Visit: 15/10/2025 |
| Patient Name | Mr. SAMSAUL HOSSAIN | Contact No | 9831994489 |
| Address | 47, CHATRA MUSALMAN PARA ROAD SERAMPORE | Age | 41 Years,9 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71.5 KG |
| Pulse Rate | / min | Height | 170.7 cm BMI: 24.537991 |
| Diagnosis | |||