Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15139 | Date 17/03/2025 |
| Token No | SM/24-25/43977 17/03/2025 | Serial | 063 Last Visit: 02/06/2025 |
| Patient Name | Mr. SK JIYARUL RAHAMAN | Contact No | 8777630992 |
| Address | 21 KANAI DEWAN TALA BYE LANE SERAMPORE | Age | 18 Years,4 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||