Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14491 | Date 05/11/2024 |
| Token No | SM/25-26/4860 13/08/2025 | Serial | 051 Last Visit: 13/08/2025 |
| Patient Name | Mr. NAZEBUL SARDAR | Contact No | 8334086097 |
| Address | KHANDAKAR PARA, SEORAPHULI, BAIDYABATI(M) | Age | 22 Years,8 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||