Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11065 | Date 28/05/2022 |
| Token No | SM/25-26/7058 15/10/2025 | Serial | 056 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 | 120/77 mmHg | Weight | 76.3 KG |
| Pulse Rate | / min | Height | 170.7 cm BMI: 26.185296 |
| Diagnosis | |||