Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03818 | Date 23/02/2023 |
| Token No | SM/22-23/12408 28/08/2023 | Serial | 010 |
| Patient Name | Mr. BADAR UDDIN SEKH | Contact No | 9641225876 |
| Address | BHOLADANGA SANTIPUR NADIA | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||