Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12019 | Date 04/04/2023 |
| Token No | SM/24-25/32648 18/05/2024 | Serial | 008 Last Visit: 18/05/2024 |
| Patient Name | Mr. BANGSHI BADAN KHAN | Contact No | |
| Address | 39/A/7 CHATRA BARUI PARA LANE | Age | 75 Years,4 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||